Foot/Ankle Solutions

Has your doctor told you that you might need a fusion to alleviate your toe pain? Fusions can limit a person’s range of motion, making it especially difficult for women who want to wear high heels. These invasive procedures may also restrict activities such as running, golf, tennis and jobs or activities where kneeling or reaching up are required. Restoring a joint with an Arthrosurface HemiCAP® implant is a much less destructive procedure. The HemiCAP® consists of a small cap and screw that allows the surgeon to restore only the damaged area of the joint. The implant simply places a smooth surface where the cartilage has worn away — imagine a filling for a tooth cavity. The natural anatomy is preserved and the patient can resume an active lifestyle without pain. Learn more about the HemiCAP Toe Implants.

Learn more about a Toe Fusion procedure

A fusion is a procedure where the phalangeal bone and the metatarsal bones are cut and shaped to fit together. The two bones are then aligned, set at a predetermined angle and permanently fixed with either screws and/or a plate so the two bones “fuse” together. Once fusion is achieved, the toe can no longer bend, changing the way you walk. Although it provides excellent foot/ ankle pain control, a fusion is considered a procedure of last resort because it eliminates all toe movement, making it especially difficult or impossible for women who want to wear high heels. It may also limit activities such as running, golf, tennis and jobs or activities where kneeling or reaching up are required. Over time, it may increase the stresses on the other toes, causing deterioration or damage. It is considered an appropriate treatment for the older, sedentary and less active patient.

Unlike a fusion procedure, the Arthrosurface Toe HemiCAP® will relieve the pain in your joint and restore your natural range of motion. There is also minimal bone removed with the HemiCAP® implant, while existing joint replacements and fusion plates surgically remove the entire bone surface on both sides of the joint. This means there is far less of the natural bone to work with if future surgery is required. The HemiCAP® system leaves more bone intact, therefore providing more options should future surgery be required.

Are you experiencing ankle pain? The Talus (Ankle) HemiCAP® is approved for patients via CE Mark in countries outside of the United States. With the HemiCAP®, patients have reported outstanding joint pain relief, rapid recovery times and significant range of motion improvements in multi-center studies. The HemiCAP® procedure may also be performed on an outpatient basis.


  • Quick Facts

    • The most common cause of knee pain is osteoarthritis (OA), a degenerative joint disease that causes the cartilage in your joints to break down. When that layer of cartilage — which is meant to “cushion” the joints and protect the surface of the bones — is damaged or worn away, your bones grind against one another, and that grinding hurts. You can feel it climbing stairs, working in the garden, or just bending your knees to sit. It may even keep you up at night.
    • OA can damage the entire knee or be limited to just one side of the knee. If you experience pain only on one side, or compartment, of your knee, your doctor may diagnose you with unicompartmental OA.
    • If you experience knee pain under the knee cap, your doctor may diagnose you with patello-femoral OA. This is not uncommon, as studies have shown that about one out of every 10 patients over the age of 40 have patello-femoral disease.
    • The factors leading to the development and progression of OA include aging, obesity, joint injuries, and a family history of arthritis (genetics). Although there is no cure, early diagnosis and treatment are crucial in slowing or preventing more damage to your joints.
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