hoping photos of x-ray imaging attached viewable
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dx hallus rigidis, severe arthritis in big toe joint , limited mobility, suspect secondary to first metatarsal significantly elevated
debate as to best procedure given age (33) active life style .
if fusion of tarsometarasal with plantar flexión of 1st metatarsal to better align and restore healthy range of motion, save joint from further wear (MRI shows significant wearing of cartilage )
MPJ fusion 1st metatarsal to address pain and most predictable outcome
chilectomy , some providers believe this will automatically reduce elevated 1st metatarsal and increase range of motion though if doesn’t address structural issue may increase pain
thoughts on procedure recommendations, factoring in quality of life outcomes for active individual.
leaning towards MPJ fusion since likely necessary down the line even if able to manage pain now by limiting activity - fusion of tarsometarsal risks if doesn’t work and need MPJ fusion down the line entire plain of foot will be locked
mobility wise
last do you drink the “cool aid” that chilectomy will address severe elevation of 1st metatarsal and will possible further aggravate pain due to trauma of surgery and increasing range of motion to that joint that already has severe degenerative arthritis
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