From the Research
Immediate weight bearing after MTP fusion is allowed, as evidenced by the most recent and highest quality study, which demonstrated a high union rate and low complication rate with immediate full weightbearing postoperatively 1. The decision to allow immediate weight bearing after MTP fusion depends on various factors, including the surgical technique used, the type of hardware employed, and the individual patient's overall health status.
- The study by 1 found that patients who underwent first metatarsophalangeal joint fusion with dorsal plate arthrodesis and were allowed immediate weight bearing had a high union rate of 100% and a low complication rate.
- Another study by 2 also demonstrated that immediate full weightbearing after first metatarsophalangeal joint fusion with interfragmentary compression and locked plating techniques is a safe and predictable postoperative protocol.
- However, it is essential to note that not all studies support immediate weight bearing after MTP fusion, and some surgeons may still recommend a period of non-weight bearing or protected weight bearing to ensure proper bone healing.
- The use of specific hardware constructs, such as dorsal plates or locked plating, may allow for earlier weight bearing, but this should be determined on a case-by-case basis.
- Ultimately, patients should follow their surgeon's specific post-operative protocol, which will be tailored to their individual case and overall health status.
- The benefits of immediate weight bearing after MTP fusion include earlier return to normal activities, reduced risk of disuse atrophy and osteopenia, and improved patient satisfaction.
- However, it is crucial to weigh these benefits against the potential risks of nonunion, hardware failure, or misalignment, and to carefully monitor patients for any complications.