Hello everyone, I have a question about big toe fusion. Im going to have to face this procedure sooner or later, along with pins down the 2nd,3rd, and 4th toes all at the same time. The Dr. who wants to do this procedure says its called the Clayton-Hoffman procedure. I believe, the way he sounded, was the fusion is like the Keller procedure though. Did anyone have pins (K-wires) put in anywhere? I know they are doing implants now but this Dr. didnt mention that. I think he will use plate and screws in the big toe. I had 3 pins drilled in my heals and one through the top of the big toe joint when I was 19 yrs (im 48 now) to build me arches. I remember that when they took out the pins it was VERY painful. This Dr. who wants to do my surgery now didnt mention a cast right after but he said no weight bearing for 6 weeks. I didnt want to go through this procedure right now because of the time Id have to take off work along with the pain and discomfort. This is a scary procedure for me considering my left foot it so deformed and damaged from all the other surgeries in the past. Also, my second toe is completely off its joint, ouch, I cant even begin to imagine how painful that will be when they break it and shift it onto its joint. I know when I decide to go through anymore Ill have to be mentally and spiritually conditioned.