Tarsometatarsal Arthrodesis: What Is It?
The goal of this type of surgery is to fuse or glue together (arthrodesis) some of the small joints in the middle of the foot.
This type of surgery does not affect the up and down movement of the foot at all. The side to side movement (inversion and eversion) of the middle of the foot is affected in a very minor way but is difficult to feel.
Screws with or without a small plate are inserted into the bones to hold the joints together while the fusion occurs. Once the joint is fused the screws are not necessary, but are rarely removed.
Midfoot Fusion Surgery - General Recovery Facts
- You will not be walking on the leg for about 2-6 weeks, depending on the type of fusion performed
- In order to stay off your foot, you will need to use crutches, a walker, a wheelchair or a scooter type device called a roll-about.
- There will be a hard plaster bandage applied to the leg for two weeks after surgery
- Your first follow up visit will be at approximately 2 weeks to remove the stitches
- We will usually apply a removable boot for you to wear at this time
- If the surgery is on your left foot, you should be able to drive an automatic vehicle at two weeks. If the surgery is on the right foot, you may drive between 3 and 4 weeks
- You may begin to walk with the boot at about 2-6 weeks, depending upon your level of discomfort, and the instructions given to you
- Physical therapy for 1-2 months is helpful to regain the strength and movement
- There will be moderate swelling of the foot, ankle, and leg for about 6-12 month
Midfoot Fusion Surgery - Specific Post-Operative Course
- Foot wrapped in bulky bandage and splint
- Ice, elevate, take pain medication
- Expect numbness in foot 12-24 hours then pain
- Blood drainage through bandage expected
- Do not change bandage
- First follow-up in the office
- Dressing changed
- Placed in boot
- No weight-bearing for 2-6 weeks
- Use the boot for about 6 more weeks
- Full weight-bearing is allowed
- The boot can be removed at night, and for gentle movement exercises.
- Swimming is permitted, but with limited pressure on the foot
- X-ray taken
- Start Exercise program, physical therapy is useful to decrease swelling
- You should wear a stiff-soled shoe for one to two months