Much variability exists in the postoperative mobilization management after first metatarsal phalangeal (1st MTP) joint fusion. This study aimed to determine the differences, if any, between weight bearing following surgery as managed with a plaster slipper as compared with that of a crepe bandage. Fifty-two operated feet were randomly entered into a prospective trial. All feet underwent identical operations. When a crepe bandage was used there was no significant difference in the rate of complications, or in the patient's assessment of postoperative pain relief. Patients treated with a crepe bandage were back to full activity significantly more quickly than their plaster slipper counterparts and the patient's overall assessment of the operation was better. In addition transfer to crepe bandage mobilization would be more cost-effective and reduce the demand on the time of trained personnel for application of a plaster. It is therefore proposed that patients are mobilized after first metatarsalphalangeal joint fusion, weight bearing in a crepe bandage.

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