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  • About Dr. Jamieson
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    • Foot
      • Bunion Correction
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      • Planter Fasciitis
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Marissa D. Jamieson, MD, Foot & Ankle Specialist
Marissa Jamieson, MD,  CU Sports Medicine
Marissa D. Jamieson, Foot and Ankle Specialist, Instagram   Appointments:

Cherry Creek (720) 516-9445

 

Great Toe Arthritis (Hallux Rigidus)

Great toe arthritis can be caused by a number of different reasons including injury, trauma, age, or gout.  In general, it is a loss of cartilage in the toe that can lead to pain, swelling and decreased range of motion.

Non-Operative Treatment

Non-operative treatment is always the first line of treatment. It can help manage or control symptoms.

  • Stiff soled shoes with a rocker bottom
  • Carbon fiber foot plate in shoe
  • Oral anti-inflammatory medications
  • Topical anti-inflammatory medication (Voltaren gel)
  • Steroid Injections
  • Activity modifications

Surgical Treatment Options

Fusion

Fusion-Before-After

Reason for Surgery:

  • Younger patients with advanced arthritis
  • More active individuals
  • Severe deformity
  • History of infection

Procedure:

The 1st MTP joint is opened and exposed. The remaining cartilage surface is removed and the bone is drilled to promote bleeding bone to assist in fusion. A screw and plate construct are then placed across the joint to hold it in place while the bones fuse. The goal of this operation is to remove pain by eliminating movement of the arthritic joint.

Recovery:

Heel weight-bearing for 6 weeks. Full return to a higher level of activity typically takes 3-4 months and can take up to one year. Once the bones are healed you can return to virtually all types of impact activity.

Interpositional Arthoplasty

Interpositional Arthoplasty-Before-After

Reason for surgery:

  • Moderate arthritic changes
  • Lower activity demand
  • Minimal deformity

Procedure:

The 1st MTP joint is opened and exposed. Bone spurs are removed from the joint along with cartilage surface. Either capsule tissue or donated tissue is stitched/anchored into place within the joint. This provides cushion, reduces pain, and attempts to preserve motion. The goal of this procedure is to eliminate pain and attempt to preserve some motion of the arthritic joint.

Recovery:

Flat foot or heel weight-bearing for the first 6 weeks. Full return to activities typically by 3-4 months, but full recovery can take up to 1 year.

 

 

Cheilectomy

Cheilectomy

Reason for surgery:

  • Minimal arthritic changes
  • Bone spurs around the great toe
  • Limited movement

Procedure:

The 1st MTP joint is opened and exposed. Bone spurs are removed from around the joint in order to increase motion and decrease pain. This procedure does not completely remove all of the arthritic disease from the joint. This may be done arthroscopically depending on the anatomy of your joint.

Recovery:

Immediate weight-bearing as tolerated is allowed in a stiff post-operative. You can transition back into regular supportive shoes after your stitches are removed at 2 weeks. You will be able to return to most normal activity without significant restrictions by 4-6 weeks.

 

 

 

 

Services

 

Marissa Jamieson, MD, Sports Medicine, Foot and Ankle Specialist Bunion Correction


Marissa Jamieson, MD, Sports Medicine, Foot and Ankle Specialist Total Ankle Replacement


Marissa Jamieson, MD, Sports Medicine, Foot and Ankle Specialist Foot and Ankle Arthroscopy


Marissa Jamieson, MD, Sports Medicine, Foot and Ankle Specialist Claw and Hammertoe Correction


Marissa Jamieson, MD, Sports Medicine, Foot and Ankle Specialist Treatment of Foot and Ankle Fractures


Marissa Jamieson, MD, Sports Medicine, Foot and Ankle Specialist Foot and Ankle Fusion


Marissa Jamieson, MD, Sports Medicine, Foot and Ankle Specialist Achilles Tendon Repair


Marissa Jamieson, MD, Foot and Ankle Orthopedic Surgeon

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Preparing for Surgery Preparing for Surgery

 

Post-Op Instructions Post-Op Instructions

 

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