Rheumatoid Foot Correction

Dr. Desai uses the Arthrex 1st MTP fusion plating system for the first MTP fusion. The other toes are corrected and pins are placed.

Before and After X-Rays

First MTP joint is fused, the 2-5 toes are straightened by removing the metatarsal heads.

Cast:

You will have a dressing and a post op sandal on your ankle and foot for 6 weeks following surgery
At 6 weeks, you will wean off the sandal and begin walking in a regular shoe

Wound:

The surgical incision has been closed with sutures
Do not get the cast or wound wet for the first two weeks. When showering place a bag over the cast and secure with tape to your leg to avoid the cast and wound getting wet
Stitches will be removed at your 2 week appointment
After the stitches are removed, you may begin to shower after 2-3 days
Do not immerse the foot in water (bath, hot tub, pool) for 4 weeks
Do not apply any lotions or creams on the wound for 6 weeks

Weight Bearing:

You may walk on your heel only for the first 6 weeks while in a walking boot. You will be given crutches if needed
After 6 weeks you may begin fully walking on the foot

Medications:

You will be given a prescription for pain medication and Aspirin (blood thinner)
Pain medication should be used regularly for the first 24-48 hours, when required for the first 1 to 2 weeks, followed by Regular Tylenol
Aspirin should be taken for 14 days (unless you have an allergy to aspirin)

Driving:

For right foot surgery you are not permitted to drive until you have completely weaned off the boot
For left foot surgery, please contact your insurance company to see if you are permitted to drive
Driving is not permitted while on narcotics

Work:

Two weeks off work is recommended for initial recovery
If you are able to get to work safely, and will be seated for the majority of the day, you may return to work a couple days after surgery. This is assuming you are not taking narcotic pain mediation.
From 2-8 weeks sedentary duties is recommended
By 8 weeks you can gradually return to full duties
If your job is physically demanding, return to full duties is usually possible around 12 weeks post operatively

Follow Up:

You will have your first appointment 2 weeks after surgery in the Fracture Clinic
Your next appointments will be at 6 weeks, 3 months then 6 months post operatively
You will have x-rays taken at these appointments

Recovery:

It is normal to experience mild to moderate pain, numbness, or tingling for the first 2 weeks following surgery
Please come to the emergency department if you are suffering from severe pain
You will get back to most of your activities by 3-6 months
Swelling often remains for 6-12 months
You are expected to experience a FULL recovery (no pain, no swelling, ability to walk, etc.) in 9-12 months

Physiotherapy: