Midfoot Arthritis (Lisfranc fusion)
Degenerative condition of 1st metatarso-phalangeal (MTP) joint
Characterized by painful and stiff 1st toe
Dr. Marsh does a variety of procedures for 1st MTP arthritis including cheilectomy (debridement), Cartiva® arthroplasty and fusion (gold standard)
o Chielectomy is a debridement of the dorsal osteophyte (bone spur) to decrease extension related pain and improve range of motion of the toe
o Cartiva® arthroplasty is an open procedure that implants a polyvinyl implant into the metatarsal head to increase joint space, decrease pain and preserve range of motion
o Fusion is an open procedure which eliminated 1st MTP motion through a combination of screws and plate. It decreases pain but eliminated motion. 1st MTP fusion is the gold standard for 1st MTP arthritic pain
