What is the current standard of care for hallux limitus/rididus?
Fusing the bones together (arthrodesis) is often recommended for late-stage arthritis in the big toe joint (1st metatarsophalangeal joint). Although it is considered gold-standard treatment for moderate-to-severe arthritis of 1st MPJ, many patients are not keen on this option as the motion at the joint is eliminated thereby restricting many activities.
What is Cartiva?
Cartiva is a new synthetic cartilage implant that is designed to replace the damaged cartilage surface. The implant is composed of a biocompatible, durable, slippery organic polymer that functions similarly to natural cartilage.
What does surgery involve?
Surgery is performed as a day-surgery procedure under local anesthetic or general anesthesia.
An incision (approximately 2 inches long) is made along the top of your toe joint. Then, special tools are used to remove bone to make a hole for the implant. The Cartiva is placed into the hole and skin closed in layers.
The Cartiva implant provides a smooth, slippery, load-bearing surface. The Cartiva stays in place without the use of cement or glue. Then, Dr Kim will close the cut in your toe with stitches. The entire surgery typically takes less than 60 minutes.
How long does recovery take?
Patients experience a clinically meaningful reduction in pain two weeks following surgery with the maximum amount of pain reduction starting at six months and beyond. Patients return to activities of daily living faster than patients who undergo a fusion procedure, due to a less restrictive rehabilitation protocol.
How long will Cartiva last?
Ideally, a lifetime. Should the implant need to be removed or replaced, its use does not prevent the use of fusion.
Is there enough evidence for this procedure?
Cartiva has level 1 clinical evidence which is the highest evidence for surgery.
“Any surgical or invasive procedure carries risks. Before proceeding, you should seek a second opinion from an appropriately qualified health practitioner“