Contact number: 020 7806 4010
Contact number: 020 7078 3831
Everything You Need to Know
Big toe fusion surgery is a precise intervention aimed at providing long-term relief from pain and restoring stability for those suffering from severe arthritis of the big toe, also known as hallux rigidus. This surgery is particularly beneficial for those who have not found relief through non-surgical treatments such as orthotic devices, physical therapy, or medication.
Key benefits of toe joint fusion surgery include:
- Pain Relief: Significant reduction or elimination of pain caused by toe joint arthritis or deformities
Risk Factors:
- Deep vein thrombosis (DVT’s): DVT’s are a risk factor with toe joint fusion surgery.
Before Foot Surgery
Consultation
The first step is a thorough consultation with one of our expert orthopaedic surgeons. During this session, your medical history, symptoms, and previous treatments will be reviewed to determine if toe joint fusion surgery is the right option for you. This consultation is essential for tailoring the treatment to your specific needs and ensuring the best possible outcomes. It is also important to discuss potential risks, such as nerve injury, which can lead to numbness and other complications.
Health Assessment
A comprehensive health assessment will be conducted to ensure you are fit for surgery. This includes blood tests, imaging studies (like X-rays or MRI scans), and a review of any medications you are currently taking. The assessment helps in identifying any potential risks and planning the surgery accordingly. Additionally, the health assessment will include evaluating the risk of deep vein thrombosis and planning preventive measures if necessary.
Pre-Procedure Instructions
To ensure a smooth procedure and optimal recovery, you will receive detailed pre-procedure instructions. These may include:
- Medication Adjustments: Guidance on which medications to stop or continue.
- Fasting: Instructions to refrain from eating or drinking after midnight on the day of your surgery.
- Lifestyle Advice: Recommendations such as stopping smoking and maintaining a healthy diet.
- Post-Surgery Care: Advice to keep your foot elevated as much as possible after surgery to reduce swelling.
During Surgery
Our state-of-the-art facilities and experienced surgical team are dedicated to ensuring your comfort and safety throughout the procedure.
General Anaesthetic
You will receive anaesthesia to ensure you are comfortable during the surgery. Options include general anaesthetic, which puts you to sleep, or regional anaesthesia, which numbs the foot while also allowing you to stay awake during the procedure.
Surgical Process
The surgeon will make an incision over the big toe joint, remove the damaged joint surfaces, and fuse the bones together using screws, plates, or pins. This precise process ensures that the toe remains in a stable, corrected position, reducing pain and preventing further deformity.
Monitoring and Recovery
Post-surgery, you will be monitored in a recovery area. Our care team will manage your pain and monitor your initial recovery to ensure everything is proceeding as expected.
After the Procedure
Our commitment to your care continues well beyond the procedure. The aftercare programme is designed to support your recovery, ensuring a smooth process and achieving the best possible outcomes.
Immediate Post-Op Care involves managing the natural side effects of the procedure, such as swelling, bruising, and discomfort. Our team will provide effective pain management strategies and detailed care instructions to support your healing journey.
Follow-Up Care is crucial for monitoring your recovery and assessing the results of your treatment. These appointments are an opportunity for you to raise any questions or concerns, ensuring your peace of mind throughout the recovery process.
After Surgery
Immediate Post-Op Care and Pain Relief
Managing post-operative effects such as swelling, bruising, and discomfort is crucial. Significant pain management is essential to ensure a smooth recovery process. Our team will provide you with pain management strategies and detailed care instructions. Keeping the wound clean and dry is vital to prevent infection. Additionally, it is important to monitor for signs of blood clots, as there is a risk of developing them after foot surgery.
Follow-Up Care and Physical Therapy
Regular follow-up appointments will be scheduled to monitor your recovery and assess the success of the surgery. These visits are essential to address any concerns and ensure optimal recovery. During these appointments, your doctor will also determine if further surgery is needed to address any complications, such as pain under the second toe or issues with the metalwork in the foot. Physical therapy will be a key component of your rehabilitation, helping to rebuild strength, flexibility, and range of motion in the foot over several weeks.
Appointment and Treatment Plan
Initial Consultation
Your journey begins with a detailed consultation to discuss your goals and determine your suitability for toe joint fusion surgery.
Personalised Treatment Plan
A tailored treatment plan will be developed based on your consultation, outlining the specifics of your procedure and recovery plan.
Pre-Procedure Assessment
A thorough pre-procedure assessment ensures you are fit for surgery, involving necessary tests to uphold the highest standards of care and safety.
The Procedure
Performed by our skilled medical team, this foot surgery will focus on achieving the best possible outcomes for your toe joint condition. The procedure is designed to be safe and effective, providing long-term relief from pain and discomfort.
Aftercare and Recovery
Post-procedure, you will receive detailed aftercare instructions and have follow-up appointments to support your recovery and ensure the best results.
Top Tips
- Follow All Instructions: Adhere strictly to the aftercare guidelines provided by your clinician. Following instructions is crucial to avoid complications.
- Follow your clinician’s guidance on when you can fully weight bear on the operated leg to ensure proper recovery and rehabilitation.
- Rest and Recuperation: Allow your body ample time to heal, avoiding strenuous activities that could impact the results.
- Stay Hydrated and Eat Healthily: Maintain a balanced diet and drink plenty of fluids to support your recovery and overall well-being.