Fusions & Bunions
CheckMATE® Fusion Plate
A fusion is a procedure where the phalangeal and metatarsal bones are cut and shaped to fit (fuse) together to relieve toe joint pain. 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 permanently. A metal plate that is placed on the bones holds them together to achieve fusion of the joint. Once fusion is achieved, the toe can no longer bend, changing the way you walk. Although it provides excellent pain control, a fusion is considered a last resort toe joint surgery because it eliminates toe (MTP) 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, damage, and/or toe pain. It is considered an appropriate treatment for the older, sedentary and less active patient. Unlike a fusion procedure, the Arthrosurface Toe HemiCAP® and ToeMotion™ system can relieve the pain in your joint and still maintain your natural range of motion. There is also minimal bone removed with the Toe HemiCAP® implant, while 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 toe joint surgery is required. The Arthrosurface® systems leave more bone intact, therefore providing more options should future surgery be required.
If your doctor told you that you might need a fusion, it’s good to know the facts. A fusion is not always the right choice and should be considered as a last resort. A second opinion is recommended and more often than not, necessary. The Toe HemiCAP® can be a great interim solution for toe pain.
A fusion plate is typically for older patients with a more sedentary lifestyle. Once your toe is fused, it is unable to bend, reach up on your tip toes and bend down. Other qualifiers could be:
- Advanced Arthritis in the Toe Joint
- Are unable to perform daily tasks without pain
- Have a moderately active lifestyle
- Are unable to wear normal shoes without pain
- Aged 35 years or older
*Seek professional medical advice for specific personal care.
Many patients who have received a Toe Fusion did not realize how debilitating it can be. Surgeons have begun performing “unfusion” procedures where they remove the Fusion Plate and replace it with the HemiCAP DF® or the ToeMotion™ Total Toe. By doing so, patients are able to bend their toe and regain natural movement. Patients who opted for an unfusion have reported pain free results with great range of motion and most importantly, they are able to return to their active lifestyles with little to no restrictions.
CheckMATE® Fusion Plates are offered in multiple sizes for both the right and left foot. Our plates are pre-contoured to match the patients specific anatomy and are very low-profile, intending to minimize the patient “feel” of the implant. The instrumentation is specifically designed for ease of surgeon use, to shorten surgical time and to eliminate any possible implantation errors. CheckMATE® Plates are provided pre-packaged and sterile unlike other systems that require sterilization at time of surgery, which increases the risk of infection. The system components are also designed for easy removal in case the patient desires to do so after complete healing (Fusing) of the bones has occurred.
KISSloc™ Suture System
A bunion is an unnatural bony growth on the side of the big toe. Not only can this become uncomfortable when wearing shoes, but this growth can also cause the big toe to angle inward to the other toes resulting in more pain and discomfort. The KISSloc™ Suture System corrects this angle and relieves the pain, pressure and discomfort. Many factors can lead to the formation of a bunion, but genetics and shoe wear are most often to blame. Bunions are much more common in women who wear tight, improper fitting high-heeled shoes. Pain or discomfort usually occurs when the bunion rubs against the inside of a shoe. However, it is possible for the bunion to not cause any pain or discomfort at all.
After the bunion is removed and the doctor has corrected the intermetatarsal angle deformity (when your inner foot bones are pointed towards each other), the KISSloc™ Suture System secures the big toe to the second toe straightening the deformity. This aids recovery time, foot pain relief, and assures that the big toe will heal in the most natural, correct position.
If you have been diagnosed with a Bunion, you are most likely a candidate for the KISSloc™ System. Once the Bunion causes the Big Toe to angle in, it cannot be fixed without surgery. The bunion then becomes painful and limits your daily activities and motion. If you are looking for a minimally invasive surgery with a quicker recovery time and less scar tissue for aesthetic purposes and appearances, then KISSloc™ could be right for you. Please ask your doctor about the KISSloc™ Suture System. *Seek professional medical advice for specific personal care.
The KISSloc™ suture system is a suture based bunion correction system designed to overcome the shortcomings of the other competitive devices by providing a very strong and stable construct. It features a proprietary knot that is self-tightening so surgeons can achieve perfect alignment before locking the system in place. The KISSloc™ requires significantly smaller holes, 1/4 the size of competitive systems, and low profile plates in order to avoid unnecessary stresses being placed on the bones. By stabilizing the toe with the KISSloc™ system, one can recover in a shorter period of time than with existing systems.