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3 great toe fusions-new pain

Discussion in 'Ask your questions here' started by sdsay, Feb 27, 2010.

  1. sdsay

    sdsay New Member


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    I had my first great toe fusion due to arthritis in Dec 08 with plates and screws. All had to be removed 4 mos later due to continued infection and screws backing out. At this time K-wires were inserted for a month. Joint did not fuse so third surgery done four months after 2nd surgery. this time another plate with locking screws and bone graft from bone marrow done.
    It is now 5 months past 3rd surgery and I have pain at base of 2-4 metatarsals when walking. Also, there is a knot ,rt to incisions that feels like the head of a screw-makes wearing shoes-except tennis shoes- difficult as area becomes red and sore. Suggestions due to metatarsal pain and can a locked screw back out. Thanks
     
  2. FootDoc

    FootDoc New Member

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    1. When the great toe cannot move through a normal range of motion (as after a joint fusion), the body must make accommodations in the gait cycle, and it may be that weight-bearing is being shifted unduly on the heads of the lesser metatarsals. But that would not necessarily translate into pain, as you report, at their bases (the other end of these metatarsals).

    2. Certainly, a simple x-ray can determine the position of the screw.
     
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