Our Summary

This research paper is about a type of surgical procedure for the joint of the big toe. The researchers are concerned that a common type of plate used in this surgery might cause the toe to bend upwards too much. They thought that the angle where the plate is attached to the bone might be less than the angle inside the bone marrow. So, they took X-ray images of the feet of 40 people who had foot pain and measured these angles. They found that the angle where the plate is attached is indeed smaller and almost flat. As a result, they suggest that surgeons should consider this when choosing which plates to use in toe joint surgeries.

FAQs

  1. What is the main concern of the researchers regarding the commonly used plate in toe joint surgeries?
  2. How did the researchers investigate the angle at which the plate is attached to the bone in toe joint surgeries?
  3. What did the researchers suggest based on their findings about the angle of the plate used in toe joint surgeries?

Doctor’s Tip

A doctor might tell a patient undergoing joint fusion surgery to follow post-operative instructions carefully, including keeping the joint immobile and elevated to promote proper healing and fusion of the bones. Additionally, they may advise the patient to attend physical therapy to regain strength and flexibility in the joint after surgery.

Suitable For

Patients who are typically recommended joint fusion surgery for the big toe include those with severe arthritis, deformities, or chronic pain in the joint. These patients may have tried conservative treatments such as physical therapy, medications, and orthotics without success. Joint fusion may be recommended when other treatments have failed to provide relief and improve function in the affected joint. Additionally, patients who have had previous unsuccessful surgeries on the toe joint may also be candidates for joint fusion.

Timeline

Before joint fusion:

  1. Patient experiences pain and discomfort in the affected joint, often due to arthritis or injury.
  2. Patient consults with a doctor or orthopedic surgeon to discuss treatment options.
  3. Doctor recommends joint fusion as a potential solution to alleviate pain and improve joint function.
  4. Patient undergoes pre-operative consultations, tests, and evaluations to ensure they are a suitable candidate for the surgery.

After joint fusion:

  1. Patient undergoes the joint fusion surgery, where the bones in the joint are fused together using screws, plates, or other hardware.
  2. Patient goes through a recovery period, which may involve wearing a cast or brace to immobilize the joint and allow for proper healing.
  3. Patient undergoes physical therapy and rehabilitation to regain strength and range of motion in the joint.
  4. Over time, the joint fuses together completely, reducing pain and improving joint stability.
  5. Patient experiences improved joint function and quality of life, with reduced pain and better mobility in the affected joint.

What to Ask Your Doctor

  1. What is joint fusion and why is it recommended for my condition?
  2. What are the potential risks and complications associated with joint fusion surgery?
  3. How long is the recovery process after joint fusion surgery?
  4. Will I need physical therapy after the surgery and for how long?
  5. What type of plate will be used in the surgery and how will it affect the alignment of my toe?
  6. Are there alternative treatment options to joint fusion that I should consider?
  7. What is the success rate of joint fusion surgery for my specific condition?
  8. How long can I expect the results of joint fusion surgery to last?
  9. Will I need to make any lifestyle changes or modifications after the surgery?
  10. Are there any restrictions on physical activity or footwear that I should be aware of post-surgery?

Reference

Authors: Marsland D, Konan S, Eleftheriou K, Calder J, Elliot RR. Journal: J Foot Ankle Surg. 2016 May-Jun;55(3):509-12. doi: 10.1053/j.jfas.2016.01.046. Epub 2016 Mar 9. PMID: 26968232