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Your midfoot is made up of several small joints. Arthritis or an injury to the middle of your foot can cause pain and swelling making walking very difficult.

What happens during midfoot fusion?

The length of your fusion surgery will depend on what area(s) need correction. Midfoot fusion is usually performed under general anaesthetic. Local anaesthetic may also be used to enhance pain relief immediately after surgery.

Your surgeon will make an incision (cut) in the upper part of your foot. They will remove the cartilage from your joint surface(s). Using pins or screws they will compress the joints together to hold the joint in position. They will close the wound with stitches or staples. A cast may be applied to hold the foot in place and control post-operative swelling.

After midfoot fusion

We will give you pain relief medication. Be sure and let a member of our healthcare team know if you are in pain.

A physiotherapist will visit to help you stand and begin moving around on your own. They will teach you how to use a walker or crutches. You may need to restrict weight bearing in the first weeks following your operation.

You may be able to go home the day of your surgery. In some cases one overnight stay is required.

Going home after midfoot fusion

You will not be able to drive so please arrange for someone to take you home. Continue to take any pain medication as prescribed.

For a few weeks you may need to take blood thinning medication to prevent deep vein thrombosis.

For the first week you should ice and elevate your foot to control swelling. You should not place any weight on your foot until released to do so by your surgeon (anywhere from 6 – 12 weeks).

You will have a follow-up appointment 10-14 days post-surgery to assess your wound and remove any stitches or staples. You may have a new cast applied or be given a removable boot. You should continue with no weight bearing.

To monitor how well your foot is fusing you will need to return for several x-rays. Based on the results of your x-rays you will be able to begin weight bearing.

At around 12 weeks after your surgery you will need another x-ray. If the results are positive your cast or boot may be removed and partial weight bearing may be allowed. You may also be prescribe physiotherapy to strengthen your foot and improve your mobility.

It can take several months (9-12) for swelling to settle. Continue to elevate your foot as needed.

Once your fusion is achieved you should be able to return to wearing normal shoes and resume exercise.

Be sure and discuss any return to work with your consultant.

Most people recover well from midfoot fusion. As with any surgical procedure there can be complications:

  • Pain
  • Bleeding
  • Infection
  • Swelling
  • Blood clots (deep vein thrombosis)

Specific complications of midfoot fusion:

  • Mal-position
  • Non-union
  • Nerve damage
  • Complex regional pain syndrome

Why not print this treatment page so you can discuss any concerns you have with your consultant?

Find your nearest hospital that provides this treatment

Shenfield Road, Brentwood, CM15 8EH

01277 695695
Overall rating Good

3 Clifton Hill, Clifton, Bristol, BS8 1BN

0117 906 4870
Overall rating Good
Cardiff and Vale  

Cardiff Bay Hospital, Dunleavy Drive, Cardiff, CF11 0SN

02920 836700

Wrexham Road, Chester, CH4 7QP

01244 680 444
Overall rating Good

78 Broyle Road, Chichester, PO19 6WB

01243 530600
Overall rating Good

Venns Lane, Hereford, HR1 1DF

01432 355 131
Overall rating Good

Foxhall Road, Ipswich, IP4 5SW

01473 279100
Overall rating Good

2 Leighton Street, Leeds, LS1 3EB

0113 388 2111
Overall rating Outstanding
Newcastle upon Tyne  

Clayton Road, Newcastle-upon-Tyne, NE2 1JP

01912 816 131
Overall rating Good

Derriford Road, Plymouth, PL6 8BG

01752 775 861
Overall rating View rating

The Chase, Old Milverton Lane, Leamington Spa, CV32 6RW

01926 427971
Overall rating Good

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