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How Are Toes Fused?

Published in Toe Fusion Process 3 mins read

Toes are fused through a surgical procedure that involves removing bone and cartilage, then using metal screws and possibly a plate to hold the bones together.

Fusing Toes: A Step-by-Step Guide

This surgical procedure, often done on the big toe, involves careful preparation and precise techniques to encourage the bones to grow together and form one solid unit. Here's how it generally works:

  • Preparation:
    • The surgeon clears away bony bumps and any remaining cartilage from the surfaces of the two bones that will be fused.
    • This is usually done to the first metatarsal and proximal phalanx of the big toe
  • Positioning:
    • The two bones are carefully positioned in the correct alignment.
  • Fixation:
    • Metal screws, and sometimes a plate, are used to rigidly hold the bones in place. This fixation is essential for proper healing and fusion.
  • Natural Healing:
    • The body's natural bone healing process takes over, with the bones growing together over time to form a single fused bone.

Why Fuse Toes?

Toe fusion might be required for several reasons, including:

  • Arthritis: Severe arthritis can cause pain and limited movement in the toe joint. Fusion eliminates movement and pain.
  • Deformities: Toe deformities can cause discomfort and make it difficult to walk. Fusion can correct deformities and improve functionality.
  • Injuries: Severe injuries that damage the toe joint may require fusion to stabilize the area.

Key Points about Toe Fusion

  • Rigid Fixation: The metal screws and plates are crucial for keeping the bones still during the healing process. This prevents movement that could hinder fusion.
  • Bone Healing: Fusion is a biological process. The body's natural ability to heal bones is key to a successful outcome.
  • Improved Stability: Once fused, the toe becomes a more stable unit, which can relieve pain and improve function.
  • Reduced Motion: Following fusion, the toe joint loses all range of motion; however, this often leads to a far less painful experience.

In summary, toe fusion involves a surgical procedure using metal hardware to rigidly hold bones together while they heal naturally to become one solid bone. This is done to alleviate pain and improve stability.

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