Summary:Arthrodesis of the first metatarsophalangeal joint is recommended for rheumatoid arthritis, hallux rigidus, severe hallux valgus, traumatic arthritis, and in cases of neuromuscular instability secondary to head trauma, strokes, or cerebral palsy. Although there are a variety of ways to achieve arthrodesis of the first metatarsophalangeal joint, a successful result is most dependent on achieving a solid fusion in the correct position