Procedure
Selective Midfoot Arthrodesis
For Midfoot Arthritis
What It Involves
A midfoot arthrodesis permanently joins the arthritic joints of the midfoot together. By eliminating movement at the worn joint surfaces, the source of pain is removed and a stable, durable platform for walking is created. The midfoot joints normally have very little motion, so most patients are surprised by how naturally they walk after fusion.
The term 'selective' is important — not every midfoot joint needs to be fused. Dr Hogan will fuse only those joints that are symptomatic and damaged on imaging, leaving healthy, pain-free joints untouched.
Recovery Timeline
Everyone heals at a different rate — this timeline is a guide.
Weeks 1–2
Non-weight-bearing in a cast or boot, with strict elevation. The wound is checked and sutures removed at 2 weeks.
Weeks 2–6
Continued non-weight-bearing with elevation, ahead of the 6-week X-ray, which assesses early fusion. Sedentary or desk-based work is possible from 2 weeks if you can elevate your foot.
Weeks 6–12
If the X-ray is satisfactory, graduated weight-bearing commences, transitioning into supportive, rocker-bottom shoes from around 8–10 weeks, with physiotherapy for gait rehabilitation. Roles requiring prolonged standing or walking typically need 10–14 weeks off.
3 months
An X-ray confirms fusion and most daily activities can resume.
3–6 months
Fuller return to activity, with a final review and discharge once fusion is confirmed. A rocker-bottom shoe is recommended indefinitely afterwards.