Early weightbearing after first metatarsophalangeal joint arthrodesis: a retrospective observational case analysis

A retrospective observational study was performed to determine if early ambulation compromised healing in patients who underwent primary first metatarsophalangeal joint arthrodesis. The records of 42 patients undergoing 47 fusions were evaluated to determine time to radiographic union, time to clinical union, and return to regular shoes. Results showed that patients achieved clinical healing at an average of 5.6 weeks, and showed distinct signs of radiographic union at an average 6.1 weeks. The mean time for return to athletic shoes was 6.23 weeks. The patient population reviewed had a 100% radiographic and clinical union rate. These results reinforce the idea that early ambulation is a viable option in patients undergoing primary first metatarsophalangeal joint arthrodesis.