I practice in an area where many of the top surgeons prefer fusing an arthritic big toe joint called Hallux Rigidus. But, there are options out there that I hope these 2 links give you some reference point. I am not a surgeon, but in the hundreds and hundreds of Hallux Rigidus cases I have seen, most patients are avoiding surgery. Those who need surgery have to look for a recommended 3 surgeons to honestly discuss cheilectomy (joint clean out), shortening osteotomy of the first metatarsal, joint replacement, intra-positional arthroplasty, and joint fusion (arthrodesis). There are definite camps of preferences. You need a surgeon who is skilled in all of these and knows the subtle differences and where your joint fits into this schema. You don't want to hear "I always do it this way". I do try to live in that ideal world. Fantasy???
http://lowerextremityreview.com/article/assessing-alternatives-to-first-mtp-joint-fusion
http://www.podiatry-arena.com/podiatry-forum/showthread.php?t=1958
Welcome to the Podiatry Blog for Dr Richard Blake of San Francisco, California.I hope the information enclosed can help people with their foot and ankle problems. Questions for now can not be taken since I am dealing with my own health problem and finding it hard to sit and type. Please tell others in need of medical advice about my blog. I hope and pray it helps you. Dr Rich Blake http://www.centerforsportsmed.org
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Thank you very much for leaving a comment. Due to my time restraints, some comments may not be answered.I will answer questions that I feel will help the community as a whole.. I can only answer medical questions in a general form. No specific answers can be given. Please consult a podiatrist, therapist, orthopedist, or sports medicine physician in your area for specific questions.