Midfoot Surgery

Midfoot Osteotarthritis

Midfoot arthritis can be caused by degeneration (osteoarthritis) or inflammation (e.g. rheumatoid arthritis).

  • In both cases the cartilage of the Midfoot joints becomes damaged.
  • Causes pain and can lead to deformity and stiffness.
  • Osteoarthritis is often secondary to damage to the joint
    • – Previous fracture or injury,
    • – Malalignment of the foot
    • – Infection.
    • – Excess body weight

Surgical Procedures:

Midfoot Fusion:

There are variations in hardware configurations for Midfoot fusions. The goal of the fusion is to decrease motion, reduce pain, minimize deformity and create a plantigrade foot.

Midfoot Fusion Surgery
Post Operative Instructions


  • You will have a plaster cast on your ankle and foot for 2 weeks following surgery
  • A fibreglass cast will be applied at 2 weeks
  • At 6-8 weeks, you will begin walking on the aircast
  • At 12 weeks the boot will be removed


  • The surgical incision has been closed with sutures
  • Do not get the cast or wound wet for the first two weeks. When showering place a bag over the cast and secure with tape to your leg to avoid the cast and wound getting wet
  • Stitches will be removed at your 2 week appointment
  • After the stitches are removed, you may begin to shower after 2-3 days
  • Do not immerse the foot in water (bath, hot tub, pool) for 4 weeks
  • Do not apply any lotions or creams on the wound for 6 weeks

Weight Bearing:

  • You will be non weight bearing for the first 6 weeks while in a cast .
  • You will use a mobility device to offload your foot (crutches, walker, stirrup cast)
  • After 6-8 weeks you may begin fully walking on the foot with man aircast


  • Pain medication should be used regularly for the first 24-48 hours, when required for the first 1 to 2 weeks, followed by Regular ibuprofen


  • For right foot surgery you are not permitted to drive until you have completely weaned off the aircast
  • For left foot surgery, please contact your insurance company to see if you are permitted to drive
  • Driving is not permitted while on narcotics


  • Two weeks off work is recommended for initial recovery `
  • If you can be transported to work and you have a sedentary occupation you may return to work when you are able and are off narcotics
  • From 2-8` weeks sedentary duties is recommended
  • By 12 weeks you can gradually return to full duties
  • If your job is physically demanding, return to full duties is usually possible around 12 weeks post operatively

Follow Up:

  • You will have your first appointment 2 weeks after surgery in the Fracture Clinic
  • Your next appointments will be at 6 weeks, 3 months then 6 months post operatively


  • It is normal to experience mild to moderate pain, numbness, or tingling for the first 2 weeks following surgery
  • You will get back to most of your activities by 6-12 months
  • Swelling often remains for 6-12 months
  • You are expected to experience a FULL recovery (no pain, no swelling, ability to walk, etc.) in 9-12 months