A joint fusion is a surgical procedure where the cartilage is removed from the ends of the bones and the bones are held together until they heal into a single bone. Joints are most commonly fused when a person has unremitting pain and/or instability due to arthritis or from surgical complications. Fusion of the big toe joint is a commonly performed procedure with a long track record of success. People considering this procedure often ask me how their function will be affected by big toe joint fusion. It has been my experience and also shown in the medical literature that the vast majority of people that have a successful big toe joint fusion return to pre surgical activity levels within 6 months of surgery. This even includes sporting activities. The main restriction that is seen with big toe joint fusion is the wearing of high heeled shoes. Big toe joint fusion can be useful for correction of bunion deformity that has an arthritic joint as well as in older people who may not have adequate bone quality for reconstructive procedures such as Lapiplasty. Fortunately, the same instrumentation and fixation devices that are used for Lapiplasty can be employed for big toe joint fusions allowing for immediate post operative weight bearing in a walking boot.. If you have pain in the big toe joint that has not improved, come in for a consultation to discuss all of the options available. We will get you back to your activities fast.