I have a patient with chronic hallux IPJ pain following a 1st MTP Joint arthrodesis 8 years ago. On x-ray the joint does not look arthritic, but the chronic pain is getting in his way and keeping him from doing things he wants to be doing. I did not perform the arthrodesis, and the orthopedic surgeon who did the procedure keeps telling him that he "shouldn't be having this pain", but has no ideas as to any type of treatment for it. The patient is now convinced he should never have undergone the arthrodesis and he should have gone for a total joint instead.
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All conservative trials have failed, including: Morton's extension, reverse Morton's extension, carbon fiber plates, rocker bottom shoe, Dexamethasone injection into the IPJ, physiotherapy, etc.
Has anyone here had any experience performing a total joint after an arthrodesis? The hardware was removed several years ago.
Thanks for your thoughts!
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Plantar plate partial tear, is surgery required?
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Painful Callus lateral plantar 5th metatarsal head
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Plantar plate partial tear, is surgery required?
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Painful Callus lateral plantar 5th metatarsal head
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