Foot Health

What is the new procedure for hallux rigidus?

Cartiva Synthetic Cartilage Implant

The Cartiva Synthetic Cartilage Implant (SCI) is a relatively new approach to treating Hallux Rigidus. The implant is made of a biocompatible, durable, and slippery organic polymer that mimics the properties of natural cartilage.

During the procedure, a small hole is drilled in the base of the big toe, and the Cartiva SCI is inserted to replace the damaged cartilage. The implant helps to reduce pain by providing a smooth, low-friction surface within the joint. As this procedure is less invasive, it typically results in a quicker recovery time compared to traditional surgery. Additionally, it has been shown to maintain, and in some cases, improve the range of motion in the joint.

Interpositional Arthroplasty

Interpositional arthroplasty is a surgical procedure where the surgeon removes the damaged cartilage and a portion of the bone from the joint. A spacer, often made of soft tissue such as a portion of a tendon, is then inserted between the bones to prevent them from rubbing together. The goal of this surgery is to relieve pain while maintaining some degree of joint movement.

Post-surgery, most patients experience a significant reduction in pain and an improvement in their range of motion. The recovery period for interpositional arthroplasty can be longer and might require the use of a cast or boot to protect the foot during healing.

Both of these surgical interventions have proven effective for treating Hallux Rigidus. However, the choice between them depends on various factors such as the patient’s age, activity level, severity of the condition, and overall health. It’s crucial to have a thorough discussion with a healthcare provider or orthopedic surgeon to choose the best treatment option.

The best surgery for hallux rigidus will vary depending on the severity of the condition and the patient’s individual needs. Cartiva is a good option for patients with moderate hallux rigidus who want to preserve range of motion. Interpositional arthroplasty is a good option for patients with severe hallux rigidus who need to reduce pain and improve range of motion.

Here is a table that summarizes the key differences between Cartiva and interpositional arthroplasty:

CartivaA synthetic cartilage implant is placed in the joint to replace the damaged cartilage.Less invasive than traditional surgery, can help to preserve range of motion.Not as effective as traditional surgery for severe hallux rigidus, can wear out over time.
Interpositional arthroplastyThe damaged cartilage is removed and a spacer is placed between the bones in the joint.Can help to reduce pain and improve range of motion, more effective than Cartiva for severe hallux rigidus.More invasive than Cartiva, can cause stiffness and instability in the joint.