More than 1 million people over the age of 50 are affected by arthritis in the big toe joint (aka the metatarsal phalangeal “MTP” joint). Hallux rigidus is a progressive disease and one of the most 
common forms of arthritis in the big toe. This disease often results in pain, stiffness and enlargement of the joint. Several surgical procedures, such as cheilectomies and osteotomies, are used to address the pain and stiffness in the early stages of this disease. However, once the arthritis reaches the late stages, the most common option has been a toe fusion.
While a toe fusion can be effective at alleviating pain, it also eliminates any movement in the toe so it can no longer bend. This lack of movement can create limitations on daily activities and types of shoes patients are able to wear. Permanent activity modifications and complications from incorrect rotation, positioning or even nonunion (a gap in the fused joint) have made this procedure less attractive to the younger, active patient.
With the growing oppostion for fusions, the Arthrosurface team is excited to announce the launch of its new modular toe restoration system, ToeMotion™. This system consists of the metatarsal based HemiCAP® implant and a metal baseplate with plastic insert for the opposing side of the joint. The difference between the Arthrosurface® total toe and other existing replacements is that it is implanted into the bone rather than on top, leaving natural bone to support the implant around its edges. This type of implant placement does not disturb any of the surrounding tissue attachments which are needed to maintain stability and lift-off for walking. The Arthrosurface ToeMotion™ is also the only toe replacement that is implanted with screws on both sides of the joint to provide rock solid fixation.
For patients looking to maintain an active lifestyle, receiving a fusion and never being able to move their toe again is not a viable or appealing option. With the Arthrosurface ToeMotion™, there is now a system that is minimally invasive, completely stable and motion preserving.
Last week, Arthrosurface performed its first ToeMotion™ surgeries with Dr. Carl Hasselman at UPMC in Pittsburgh, PA. Dr. Hasselman, who has been using the HemiCAP® system for almost a decade now and is the co-designer of the new ToeMotion™ system, combined the new phalangeal implants with the existing HemiCAP® metatarsal implants to create a toe joint restoration.
“I have known for quite some time that the screw based fixation of the HemiCAP® system is superior to any of the other press-fit solutions currently on the market. The instant fixation, immediate weight-bearing and early motion is critical to the excellent outcomes my patients have experienced with the Arthrosurface system over the past decade” said Dr. Hasselman.
Learn more about Arthrosurface Solutions for painful toes.
I am 44 years old. I was having some pain in both of my big toes for a few years. It finally got to the point I could not take it any more. I was sent for Xrays and was told I have arthritis i both big toes. That was about 3 years ago when they told me that. Fusion was what they brought up. I really did not like the sound of that. I have not been able to bend them for about 7 or 8 years now. I take pain meds daily because that is not the only place I have arthritis, But when you have to be on your feet all day to work ….
I am am really interested in more information on this
Hi Theresa,
I know a friend of mine has hemicap implants (just the head side) in both feet and is almost three years out and back to playing golf, working out and has dropped about 25-30lbs. He used to walk on the outside of his feet and couldn’t even push off his back foot to swing a golf club properly. It’s impressive.
Best of luck.
I would like a surgeon in the Evansville Indiana area who can do this procedure.
Hi Gigie, We just sent you an email with additional information
can this be done in Orlando I am a retired tennis instructor and have no movement in the big right toe and after xrays was given the options of fusion or joint replacment
Hi Robert, we just sent you an email. Please let us know if you did not receive it!
I am 40, and was in the Army for 10 years, abusing my feet. I had to have a fusion in my big toe 3 yrs ago and I love it! I can still run and do everything except lunges and push ups. Im okay with that. I just do more squats and accept my big butt.
Pain at or near the area of the sesamoid bone 5 months after metatarsal component was implanted (1 October 2015). Surgeon did not install the phalangeal component.
Hi Brian – I am sorry to hear about your pain. Please email us at aarnone@arthrosurface.com to discuss further. Thank you
I experienced the same pain in the sesamoid bones after having the hemi implant. 3 years later I added the phalangeal implant to complete the joint replacement and I’m still experiencing the same pain as before. My joint arthritis is worse now than before having the implants. My doctor says fusion is the only tried and true method of relieving pain.
Robin, please let us know if you did not receive our email.
If I’ve already had one toe fused (Hallux rigidus), could I get the total toe replacement for the other toe or am I stuck with fusion for both toes. What are the characteristics that make one a candidate for the total toe replacement? Is there any way to reverse the toe fusion that was done on my first toe and implant the total toe replacement system or am I stuck with the toe fusion forever. I am 38 years old and was told toe fusion was pretty much the best/only alternative I had so I went ahead with the procedure (Aug 2015). My other toe joint is completely degraded and am slated for another toe fusion but then I found this website. Please advise!!!
Hello Kate – We just sent you an email. Thank you
I have the same question as Kate. Had one fused and other needs done as well – is fusion reversible and can the other toe be fixed with this alternative?
Hi Connie, Yes, we just sent you an email.
I have the same problem as Kate. I had fusion in both toes and I’m worse off thank beofre the surgeries. My feet are always in pain.
Please advise. Thank you so much.
Hi Sheryl, We sent you an email with additional information
Hi, this is very interesting. I have had a First MTP Joint Fusion done on my right toe 7 months ago which was still painful and could not walk of off it, so I had an Osteotomy done 2 weeks ago to raise the toe up. It is till to early to know if it has made a difference as I am still on crutches and am not allowed to overload the fore foot. Is it possible you could send me some information about the ToeMotion please and if there is anyone who does it in New Zealand?
Thank you
Jody
Hi Jody
I’m just wondering how your toe is now? With having the Osteotomy. I in a similar situation.
I have had my big toe fused 51/2yr ago after breaking my ankle and leg.
I complained that I couldn’t feel my toe and was advised to have a toe fusion.
I feel angry as no other option was given.
And would like any information on if I could could have something where I could bend my toe thanks Karen Crowe
Hi Karen, We just sent you an email with additional information
Hello, I have the same questions that Kate has. Please send me any information as I would like to have my big toe fusion reversed as well. Thank you kindly!
Hi Cheryl, We sent you an email directly
I have my big toe, 2 and 3rd toes fused on left foot and i am always in so much pain, can any of this be reversed so i can bend again?
Stephanie, please let us know if you did not receive our email!
Hi,
I have the same question as the others about reversing the toe fusion.
Thanks!
Hi Randee, It is possible to have a fusion reversed. However, there are many things to be considered before doing so. We will email you further information.
I was running and stubbed my toe back in 2015, took a tumble. Thought I broke my toe And nothing would be done. 8 weeks later I could not bend my big toe and after X-ray they said I had a bone chip stuck in the joint. Went to ortho Dr and he said he could do a bunionectomy on that toe and I asked if he could get the big toe to lay flatter. I can not wear regular shoes as the toe is rubbing against the shoe and gets infected. He claims he could get it to go down about 2ML and said the correct way to do this was putting a plate on top and screw it in place. So a year later now my toe is still up, can’t bend the first knuckle and due to plate can’t bend the ball of my foot at all. I am getting cramps in the arch and with walking different having problem with my hip. Can I have this reversed? Would Ins cover the reversal. It looks like what they call a cock toe
Hi Jenny, we sent you an email. Please let us know if you did not receive it!
My husband had a fusion done approximately 5 years ago due to gouty arthritis and has been miserable since. We are interested in the possibility of reversing the fusion and having the joint replaced.
Hey Kim, let us know if you didn’t get our email!
Same question as above in that can they redo one toe with the fusion already performed to where it would again move. Had fusion in June of this year. This was on my second toe.
Hi Nancy, we just sent you an email!
I have the same question I recently had a fusion in June 2018. It is now October 2018 and it is a failed union. I also need to get my other foot done. I do not like how my foot feels however it is being held together by the hardware. Wanting to know if I am still a good candidate to get the implant on the foot where I already had surgery?
Hi Bonnie, we just sent you an email!
Are implants available for the interphalangeal joint of the big toe?
Yes, our Toe HemiCAP Systems are implanted on the phalangeal side of the toe joints.
I live in Massachusetts and want to know if there are any surgeons in my state doing the arthrosurface toe motion joint replacement. I have just consulted an orthopedist outside of Boston who showed me on my x-rays that osteophytes are present in the area where the cheilectomy was done 2yrs ago. I am getting pain and swelling in this area
Hi Mary Ann, We just sent you an email with more information 🙂
I have been advised today that I need a fusion on my left big toe. I can send a picture of the X-ray. Is there anyone experienced in the Ft Smith Ar area or 250 miles out with you products?
Hi Joseph, We just sent you an email 🙂
Hi. Im 48 have pain in both big toes. Right is the worst and it started in my late 30s. Told I have arthritis in big toe and surgery is not an option as it doesn’t work as fusing I’d the only option (last resort). The orthopaedic surgeon said he can give a steroid injection into my tendon underneath foot and in the joint. No mention on the success rate, and I assume I am not going to be able to drive myself home afterwards. Also told to manage with painkillers. Painkillers do nothing for the pain, tried insoles, I’m a nurse on my feet all day sometimes it’s so painful it burns up my leg. I’m not even 50 can’t retire til I’m 67. It cripples me now and I walk on the outside of my foot which caused pain in my knee and hip. Is this really the only option I have. I didn’t want to wait until it was too late to operate. The pain makes me want to cry now. Please tell me you do these operations in the UK and how to access it??
Hi Annette – We just sent you an email directly. Thanks!
Hi Annette, I’ve just had my big toe fixed last week on the NHS. My surgeon used this product and I’m delighted to say I can wiggle my big toe already without much pain ( that’s just post op pain I believe) when you see your consultant ask him what implants he uses? I wouldn’t let it get too bad either… best get it done asap. Good luck!
Hi Annette – This is wonderful! Keep us updated on your progress if you don’t mind.
Hi there, almost four months since my operation. It is still a bit painful if I’m on my feet too long, but nothing compared to how it was before. My surgeon is pleased with the range of motion and has left me an open ended appointment because he doesn’t need to see me any more. He advised that I still take it slow and considering my age 62, I think that’s good advice. I’m back at work and they have agreed to nights only for another three months which will help greatly I believe. Couldn’t be happier 😊
Hi Annette, we are so happy to hear that you are satisfied with your operation! We hope you continue to see improvement and are able stay active and live pain-free. Please keep us updated on your progress as we love to hear from our patients!
Hi . I saw your description of toes and wondered how you are getting on . I’m also a health professional on my feet all day. All the best .
I am interested in the Arthrosurface, can you tell me if there are any recommended surgeons in the Sarasota, FL area?
Hi Mike – We just sent you an email!
I have OA in both joints of the Right big toe, does your solution work if installed in both joint of one toe at once
Thank you.
K
Hi there.. Is this available in the UK? Thanks
Hi Umesh, We just sent you an email 🙂
Can you recommend a surgeon near Westport, CT. who is doing this procedure?
Thanks
Hi James, We sent you an email with additional information.
I have Hallux Rigidus of the Big Toe. Is their a Doctor in the Northwest that does the
Arthrosurface Toe Motion as I live in Oregon?
Hi Toni, we emailed you additional information. thank you
How is the HemiCap better/different than Cartiva synthetic implant?
Hi Kayla, We sent you an email with additional information.
I too would love to learn more of this. I have cartiva…seem to need more of a solution.
Could you please send me some.more information as my doctor urges me to have a fusion.
Stephanie, please let us know if you did not receive our email!
I am scheduled for Cartiva in March, but want to know how Arthrosurface compares. I live in Wyoming, and wonder who near me (perhaps in state or Colorado or Utah) I could see. Feeling not so great about Cartiva right now…
Hi, I would like to know who I might see for this procedure in Massachusetts.
I am six months post fusion of the big toe – still in pain, not walking properly. I have read about reversal of big toe fusion [unfusion] and replacement with Arthrosurface. Can you provide names of surgeons on the West Coast [California, Oregon, Washington] who are currently performing big toe unfusion procedures? thank you
I am 40 (men), profesional diver an very active in sport. I have Hallux Rigidus of the Big Toe. 5 months ago I had surgery (cheilectomy) and still cant move Big toe and still feel the pain. Can you make Arthrosurface after there is already made cheilectomy. I read that Cartiva Toe Implant for Arthritis is not posible after cheilectomy. Is it corect? Please can you give me your opinion an what I can do about it?
Hi Edi, We just sent you an email.
I’m a runner that up until recently , would run up 100 km per week, even with only about 10 degrees dorsiflexion with tolerable discomfort. However, Hallux Rigidus has progressed such that running is no longer possible, with visible osteophyt growth and increased pain. I was advised that fusion would be the most reliable option, and return to running possible with a “rocker sole” shoe ang a slight up lift in the fused toe. Is it possible to return to running with hemicap resurfacing of big toe?
Hi Gavin, We just sent you an email with additional information. thank you
Hi I’m 44yrs old! I live in Michigan and I also have pain in my big toe right one…. I have arthritis in my toe on top spur. Had it shaved in 2015 and it’s coming back! I’m on my feet all day in health care! It’s painful and swollen all the time! I want the motion Arturo Motion cap surgery!!!!!! Pleaseeeeee Help!!!!!!
Hi Aarena! We just sent you an email, please let us know if you did not receive it!
Please explain to me about this. I am runner and want to run but fear with recommended fusion that it wont be possible. Can you explain how it would be better with arthrosurface?
Hi Stephanie, we just sent you an email!
I have had cheilectomy surgery in both big toes and the outcome has been totally negative. I still have pain and, in fact, have additional pain caused by nerve damage. The range of motion was not improved and is decreasing. Because my gait has changed significantly I am suffering just about about everywhere! I have had arthroscopic surgery on both knees and now, because of my feet and my knees, I am suffering with hip pain AND back pain. It’s a vicious cycle that seems to have no good end. I have been dealing with these problems for the past 15 years. I’ve gained significantly from being inactive, whereas before this problem reared its ugly head, I ran, biked, and then reduced to walking, I “fitness” walked energetically every night of the week, and felt great! I’m 65, can’t play with my grandsons because of the discomfort, and honestly do not look forward to the rest of life such as it is. At the time of the cheilectomy surgeries, I was encouraged to have fusion performed. It was rather offensive to have a young doctor tell me, at the age of 50, to have fusion performed and that I could wear rocker shoes from then on. I was an active 50 year old! I was also told that joint replacement in the big toe is seldom successful and doesn’t last long, necessitating further surgeries. So, please tell me who in the Indianapolis, IN or Illinois or Ohio areas performs this type of surgery and what the success statistics are like. Thanks. Judy
Hi Judy, We just sent you an email with more information.
Do you know if Boston Medical does this procedure?
Hi Rob, yes there are surgeons who use our products and operate at Boston Medical. We sent you an email with additional information
Hello, I am 51 and very active. I was just told that I am a candidate for replacement, what is the average recovery to be back in shoes? I know it’s vane but I don’t want to be wearing orthopedics at my son’s wedding
Hi Suzanne, We think its a very reasonable request to want to wear regular shoes at your son’s wedding! We just sent you an email with additional information.
hi I would like to know if they except all type of insurance for the toe motion modular and anywhere in new York. I have a friend that’s going for a plastic fusion.
Hi Evelyn, we just sent you an email with additional information
I had a chillectomy on my right foot for severe arthritis several years ago. The pain is back and more severe. Cannot be in my feet for very long and the toe is in constant pain. Is the total toe replacement an option for someone with severe arthritis or would the bone be too damaged for implants?
Hi Heather, We sent you an email
I was told by a podiatrist that I need either a fusion or a joint replacement in my big toe. He said that he could *try* to “clean up” the joint and remove all the bone spurs, but he won’t know the extent of the joint damage until he gets in there, and he would have a joint replacement at the ready, making the decision while operating. Is this a standard procedure for a podiatrist to work this way? He didn’t specify which type or brand of artificial joint he would be using either. When I asked his office staff for a rough estimate on cost for this surgery, their response was something to the effect of “We won’t know until after the surgery, and we bill insurance, and then you. We also can’t say what the surgery center and anesthesiologist fees will be.” That seems ridiculous to say that they don’t know what the cost will be. Can you recommend a surgeon in the St. Louis, MO area who uses this type of replacement?
Hi Dee, We just sent you an email with additional information. Thank you
Hi, lm a 46yo active male, l work long shifts on my feet and experience great pain in my big toe. l find that lm walking on the side of my foot which in turn gives me back and hip pain. l have been told its Hallux Rigidus and l have tried cortison and have been having shock wave treatmeant on my heel as its caused me to have plantar fasciitis. Nothing is working for me and the pain is quiet bad always now making it hard painful to even walk. l live in Australia, is there somewhere that you would recommend or would l be able to even have Arthrosurface surgery in the US.
Please help! Thank you
Hi Chris! We sent you an email with our Australian Distributors contact information.
hi
Could i also please have that Australian distributors contact information,
I Would appreciate it very much
cheers
BB
Hi Bilyana, Our local distributor in Australia is Allegra Orthopaedics.
Hi my name is Valentina I’m 18 years old. I come from Europe. Because chemotherapy destroyed my bones I have had an ankle fusion, a knee surgery and I also got a hip replacement. Now my doctor said that I need either a big toe fusion or a bigtoe jointrepkacement. Can you send me some information please? I want to know if a replacement is also pissible if you have osteonecroses. And if yes how efficient would it be because mei orthopedist said that the only successfull method eould be the fusion.
Dear Valentina, We emailed you directly. Keep an eye out.
My 36 year old active daughter, with 2 small kids has had AR since she was 13. Her Rheumatologist told her recently the toes will need to have rods put in soon and she won’t be able to bend her toes (perhaps all 10 ) one day. Is your product something she could use?
Hi Barbara, we emailed you additional information.
I had the hemi implant done in both big toes because of severe hallux rigidus 10 months ago. My toes do not bend (yes I did the bending exercises per my dr), and there is a good amount of pain in the upper part of both big toes when I walk. My dr has recommended I now do the total toe joint. I really don’t want to do anymore surgery and will this even solve the problem? I am so discouraged! How does this compare to the Cartiva? I just don’t know what to do. Please advise.
I live in Beaverton Oregon. Are there any podiatrist who are using your technique? I’m scheduled for an implant in July and would like this instead.
Hi Kathi, we sent you an email with additional information
My joint was removed and left to heal on its own. Very painful and lack of motion or the ability to wear a closed shoe is not acceptable to me. I live in southern california. I have been looking into the Cartiva implants, is this the same thing?
Hi Debbie, We sent you an email with additional information
I had arthrodesis on my left toe. Can the fusion be reversed & an implant put in?
Hi Steve, We just sent you an email.
Hello, I had a right great toe implant about four years ago. I researched available products and found the ArthroSurface to be superior to any available at that time. Even though it was a HemiCap I’m pretty sure it was two sided just as the ToeMotion is now but it was not called that. Everything has been fine up to about 6months ago and now my great toe is beginning to cross over to on top of my second toe! I’ve just discovered that my wonderful surgeon has moved out-of-state! At the time, he was the only surgeon in the area who did great toe joint replacement. I am seeing an orthopedic surgeon in a couple days and hopefully he can figure out what is going on. Up to this point I have had absolutely no problems and have loved my result! Question . . . if there is something going on with the implant, can it be revised or replaced? I do not want a fusion! Too active for that! Also, I would like to give the ortho as much info on the implant as I possibly can. What product would have been used 4 years ago? Thanks for your input!
I would like to know whether there is any orthopaedic surgeon in Australia who uses HemiCap.
I am particularly interested in the HemiCap Arthrosurfacing procedure for the 1st MTP joint. Thank you.
I am interested in the HemiCap Arthrosurface procedure to address hallux rigidus and pain in my big toe (1st MTP).
Could you please advise me whether there are any surgeons in Australia who currently use this procedure, and, if so, please provide their contact details so that I can follow up locally. Thank you.
Hi Michael, We emailed you directly. Please let us know if you did not receive it.
Hi
I’m in need of a great toe fix. I had the other one fused 17 years ago and it has been fantastic pain free. Now though I don’t want to have the long wait time to heel a fusion. I like the idea of the arthrosurface. How many days until I can walk on it after surgery
My husband is scheduled to have an arthrosurface total first MPJ. I was hoping to do a little research and review comments but it seems arthosurface only responds to individuals by email and not in posts available to the public. Is there a way that I can obtain answers to the posted questions?
Thank you,
Hi Corrinne, We sent you an email a few weeks ago with additional information. Please let us know if you did not receive it.
I would like to understand the difference and have a comparison between Arthrosurface ToeMotion and Cartiva implant as I have arthritis in my big toes and the one toe is starting to hurt.
Hi Andi, We sent an email explaining the differences. Please let us know if you did not receive it.
Me having same problem.
As I am volleyball player it hurted a lot and had infection inside
Healed infection
Now hurts only on walking 🙁
But still searching for solution.
As I am from Europe, Latvia its kinda difficult.
Here PRO doctor says that is better to lock the joint together with screws.
Sure i am not happy with that becouse locking gona disable me from volleyball at all 🙁
Hi Valters, we just sent you an email with additional contact information for our European team
Hi, very interested in this procedure. I had an interpositional resection arthroplasty on great L toe Dec 2016 and have as much or more pain as before. Dr wants to fuse it–I say no. I had same procedure on R great toe eight years earlier with a good result. I have always been active but have many limitations now as far as activity and shoe choice. I wonder if I am a candidate? Please tell me I am. I need some hope to believe I can return to my active lifestyle.
Hi Nancy, We just sent you an email with additional information. thanks!
Is there a surgeon in Worcester MA who has performed this surgery? I’m in constant foot pain.
Hi Rosa, We sent an email a few weeks ago with additional information. Please let me know if you did not receive it. Thanks!
I had a fusion over a year ago and I’m still experiencing pain and constant swelling. Is this another option for me???
Hi Kelly, We sent you an email with some additional information.
Are there doctors if the Detroit area that perform this surgery. If not what is the closest city. Thank gki
Hi Debbi, we sent you an email with additional information. thanks!
Hi! I’m an active 50 year old male who underwent a cheilectomy and Cartiva implant in my left big toe in September, 2017 after a friend did extensive research for the same procedure. While she was out of pain in short order, four months later I’m still in a great deal of pain, and when the toe does bend the implant “catches” on the opposing bone until the force releases the friction in a very uncomfortable way. The surgeon says this is how it is SUPPOSED to work, he informs me that the x-rays look perfect. He then keeps offering a joint fusion as a next step. Completely unacceptable.
Is the ToeMotion Arthrosurface an option for me, or have I already foreclosed that option by doing the Cartiva implant? I waited six years for an implant that would work, and I fear I’ve chosen one that failed me. The Arthrosurface looks much more thorough, and I believe I would no longer have the “catching” of the implant on the opposing bone since both surfaces are replaced. Thanks in advance for your time!
Hi Mark, I just sent you an email with additional information. But in short, yes, Cartiva Implants are successfully being revised to a Toe HemiCAP or ToeMotion implant.
Hi. I am having the same issue as Mark and a few of the others. I had Cartiva Implant and cheilectomy on right great toe in August. Still having pain, in fact more pain that before the surgery, with decreased ROM. I cannot wear a closed to shoe, I am (or was at this point) a RN on a busy Med/Surg floor; so, open toed shoes are not an option. Yes, the surgeon is also informing me that fusion is the only option for pain relief, I do not think so! I am an the the Sugar Land/Houston, TX area. Please send information regarding this procedure along with any physicians remotely close to this area. Thanks!
Hi Sissy, We sent you an email last week with additional information. Please let us know if you did not receive it
Hello. I have a fusion of the great MPJ that has given me a great deal of issues. I now have significant problems in my IP joint. And the fusion is extraordinarily limiting to a once active 35 year old. Is it possible to do an unfusion with this device? If so are there surgeons in the Atlanta, GA area?
Hi Katharina – It is possible and becoming more common. Did you receive our email?
Hi, I had two surgeries in 2016 on both feet. On September 23, 2016 I had a bunionectomy and three hammer toes removed and fused together on my second, fourth and fifth toe on my left foot. On December 29, 2016 I had a bunionectomy and three hammer toes removed and fused together on my second, fourth and fifth toe on my right foot. I initially when in for a bunionetomy, the podiatrist I went to told me that I would eventually need my hammer toes done and she suggested that I have it done all at one time. She never explained to me that I would never be able to been my toes again. Now exactly one year later my feet are num and stiff all the time. I can’t wear regular shoes. I feel as if I am off balance alot of the time. Is there any help for my feet?
Are there Canadian doctors performing this procedure?
Hi Scott, Yes there are! Did you receive our email?
I’m 54 years old and very active. I have arthritis in both my big toes, constant pain most days. My podiatrist said I’m to young for a toe replacement and I should get my toes fused. After reading through these comments I’m now very skeptical about getting a joint fusion. Please send more information on arthrosurface and if there are any Physicians in Wisconsin that perform this surgery,
Thanks
Peggy
Hi Peggy, We sent you an email with additional information.
Hi, I had a fusion on my big toe 8 months ago and I’m finding it very hard now to continue running. Could you send me some details please on reversing the fusion. At the time i was told this was my only option and for someone who is active this is now a big shock. Thanks
I had a consultation with an orthopedic doctor this week who said I had no cartilage in my big toe joint and he said fusion was his suggestion. I have not liked the idea of losing movement of that joint and have read about many negative outcomes from fusion surgery. I had arthroplasty surgery on my right thumb a few years ago and so far, so good. I have bone spurs and pain in both toes. I am interested in a procedure like the thumb arthroplasty. I live in Flower Mound, a town north of Dallas, Texas.
I have had 2 failed plates post arthrodeisis. I am left with a non union and a broken plate in situ as I am unwilling to undergo another attempt at fusion …the only alternative offered by surgeon. The lateral pain post fusion due to altered gait was worse than the bone on bone pain I have now. I am considering cartiva but came across this alternative hemi- cap.
Could you please advise me whether there are any surgeons in Australia who currently use this procedure, and, if so, please provide their contact details so that I can follow up locally. Thank you.
I had a sesamoid bone shattered 3 1/ 2 years ago, my 1st surgery the doc removed both sesamoid, after some healing time the pain continued and got worse when I attempted to walk, 6 months later – 2nd surgery was a fusion with screws of the 1st MTP joint, which again did not work my foot rejected the screws and the pain was awful, so then 6 months later after 2nd surgery onto the 3rd surgery where he put in a Flexspan flexible hinge toe with grommets into both the metatarsal and proximal phalanx @ the 1st MTP joint!! This last surgery was performed in 6/10/16 , I am still in a walking boot, can’t wear a shoe, and Have severe pain constantly everyday!! I have also now devolved severs osteopenia/osteoperitic bones from disuse! In order to work I still have to use a knee scooter because my job requires me to be on my feet all day!! Advise?????
I had a cheilectomy carried out in 2013 and at the time was told there was no cartilage left and expect to have a fusion in the future. Can I still have a HemiCap as an alternative to fusion?
Hi Tej, we sent you an email last week. Please let us know if you did not receive it!
Hi, My name is Trish and I have been hanging off having my big toe operated on after the specialist advised towards a fusion. Cartivia also advised that they are not in Australia. I follow a Facebook group regarding cartivia and have now since learnt about the hemicap in the last couple of days which has me searching regarding this being done in Melbourne Australia.
Would there be any surgeons well trained in this here already? Please advise I am interested to learn more. Thanks Trish
Hi Trish, there are Arthrosurface experienced surgeons in Australia. We sent you an email with more information. Please let us know if you did not receive it!
I’ve had a Chielectomy over a year ago. Traded in one set of pains for new nightmare nerve damage at the site and ball area of big toe. My leg has shrunk a bit due to an off gait. I have pain in the back of my knee, doctor says not related, I’m calling bullshit! Also shooting pains up the same leg, especially when sleeping. Will the Arthosurface procedure work after a failed Chielectomy and can I still surf, snow ski and take my two hour walks pain free? Or am I just screwed? Also, is this a difficult operation to perform for a doctor who just found out about this? I’ve been putting the insert operation off for 6 months now, hoping for something better and doing research whilst still in pain. Will this work for me? I have just turned 56.
Hi Jeffrey, we’re sorry to hear about your continued pain. We just sent you an email, please let us know if you did not receive it.
Hello,
Thank you for your response but did not receive it. Please send again.
Thank you
Hi Jeffrey,
We just sent you another email. Let us know if you received it.
I have not received it, I’ve even checked the Spam Folder.
I just had a Cartiva implant recess into the bone so I am back to bone on bone contact. Can Arthrosurface be installed if the Cartiva implant is removed? How long has this procedure been available? How many have been performed? Do you have test results that you can share?
Hi Doug! We just sent you an email, please let us know if you did not receive it.
Do you have a list of surgeons in the US that perform this procedure.
Sent an email earlier this week.
Please respond.
Hi Pamela! Our Find a Doctor tool is a great resource to find Arthrosurface trained surgeons in your area. Please use this link to do so. https://www.arthrosurface.com/find-doctor-area/ After filling out the form it will take you to a map showing all of the surgeons in your area that use our products. Please let us know if you need any further assistance!
Hi Pamela, we sent an email earlier this week. Let us know if you did not receive it!
I had a joint fusion over 5 years ago and I’m only 33. I am not happy with the results. I still have pain and cannot be as active as I would like. Is this an option for me.
Hi Amber! We just sent you an email, please let us know if you didn’t receive it!
Hi please send me information on reversal of fixation. Thank you
Hi George, we just sent you some more information via email. Please let us know if you did not receive it!
Does artho surface make an option for fifth toe joint replacement?
Hi Brendan, unfortunately we do not have an implant for the 5th metatarsal. Please let us know if there is anything else we can help you with!
Are you developing a joint replacement for the 5th metatarsal? If so, when will it be available for the general public? If no, why not?
Hi Marilyn, we sent you an email. Please let us know if you didn’t receive it!
Can you give me the names of surgeons performing Arthrosurface Toe Motion implants and/ or Cartiva implants in Australia?
I’m about to have my hemicap excised from my toe because bone has grown around the sides of the implant. The hemicap sounded like a great option and doctor is going to try replacing with a total mpj replacement like the arthrosurface. Hoping for better results this time.
Hi Robin, I was wondering how long it took for the bone to grow around the implant.
Thank you,
Jeffy
Actually, just had surgery and doctor said implant looked fine. It’s been 3 years since the original surgery and the joint never felt any better than when I actually had the bunion. Now the doctor has added the second implant in the big toe to coordinate with the original hemicap and used bone from my heel to lengthen the bone because removing the original bunion caused my big toe to be too short.
I had both bunions and the right index toe fusion done 7 months ago. The bunions are both fantastic but the toe fusion is constantly painful in both the toe and in the ball of the foot. I know I am causing issues in my left leg as I compensating for the pain in the right foot and toe. Any walking or standing is extremely painful and I can definitely no longer walk for any distance or time. Can the fusion be reversed and can you send information on arthrosurface surgery in New Zealand. Thank you
Hi Chris, we just sent you an email!
My orthopredist is recommending right big toe fusion. I had a cheilecotomy about 10 years ago, which worked for a while. My doctor didn’t mention any alternatives to fusion. Please send me information about arthrosurface and physicians who use this method in Massachusetts. Thank you.
Karen
Hi Karen, we sent you an email last week! Please let us know if you didn’t receive it.
Hello – would you please send me a list of Alabama Ortho surgeons that do both the Hemi & total toemotion implant? Just looking over my options here.
Thank you.
Hi Ron, we just sent you an email. Please let us know if you did not receive it!
I would love more information on this and if there are any doctors in central or Northern California doing this? Thank you
Hey Doug, we sent you some more information- let us know if you didn’t receive it!
I have had cartiva which failed (December 2017) I don’t want to do fusion can this be done after a failed Cartiva implant?
I am in Virginia
Hi Heather, we just sent you an email. Please let us know if you did not receive it!
Have many runners had this procedure? I’ve ran 9 marathons and a handful of half marathons and would like to return to races post op. Has anyone else had success with that?
Hi Katie, please let us know if you didn’t receive our email!
I had surgery on my big toe right foot. As I healed or someplace along the way I developed a spur in the joint and My big toe does not touch the ground. If I walk too many steps a day my foot becomes Nam and the four small toes ache. I just heard about a joint replacement for the toe and I am very interested. I live in orange county California and would like either my big toe not touch the ground. If I walk to many steps a day my if it becomes numb and the four small toes ache. I live in orange county California and would like a referral for my area.The person I heard about having a joint replacement done went to Dr. Jacqueline White, Podiatrist, in Orange California. I don’t know if this is the type of replacement that was done.
Hi Martha, we just sent you an email. Please let us know if you did not receive it!
For how long has this device been used? What sort of training to surgeons get in its application? What research articles have been published about it? How long does the device last?
Hi Nikki, let us know if you didn’t get our email!
I had a chielectomy, osteotomy, and bunionectomy in my left foot 10 years ago. At that time of surgery, I strongly rejected having my toe fused. Just this past year, this same foot has been hurting
pretty bad. My toes, popping, and lots of swelling on top of my foot near toes. The ball of my foot feels like padding is gone. AND,
the big toe is clearly swollen and painful. Walking at times has been next to impossible. My ankle hurts, but x raysof ankle show no damage. X-rays of my big toe, just taken, show no joint space left at all. The reading says…”Prominent Degenerative changes at the 1st metatarsophalangeal joint. My Dr. says that cartiledge is gone in big toe. Was told 10 years ago I had serious arthritis in toe. Of course I am walking on the outside of my foot at times, and it’s taking a toll on my entire body. This is crazy. I am having
a steroid injection today in big toe via ultra sound. I am scheduled to see surgeon regarding fusion in September, but I am having “serious
reservations” of this procedure. I am a VERY active 62 yr old woman. I hate the idea of NO FLEXION left whatsoever in my big toe.
I live on the Central Oregon Coast. Is there anyone in this area that does this Arthrosurface procedure? I am very interested.
Hi Melinda, let us know if you didn’t receive our email.
Hi,
I would love more information and if there are doctors in Melbourne Australia, practice this.
Cheers.
Hi Brady, let us know if you did not receive our email!
I would love to hear what doctors near Southern California are doing this procedure. Thanks.
Hi Jeanine, we just sent you an email!
Hi I am just about to schedule the Cartiva for arthritis in right big toe. Just saw a post on Facebook about this in the Cartiva group. I’ve never heard of this! Could you tell me the advantages over Cartiva and what docs in the Phoenix area perform it? Thanks so much!!
Hi Pam, we just sent you an email with some more information. Please let me know if you did not receive it!
Hi, I am interested in being evaluated for this procedure. I have pain in my big toe secondary to arthritis and loss of cartilage after a bunionectomy. Prior to surgery, I ran 5K races regularly. Now I can bike ride and swim. My Dr offered me no alternatives but fusion. I said no. Would I be a candidate?
Hi Caye! We just sent you an email, please let us know if you did not receive it.
I had Cartiva Dec 29, 2017 and CT and X-rays show failed. I’m in pain constantly and worse than I was before Cartiva. Along with being bone on bone, CT also shows Sesamoids degeneration too. I am a fitness instructor, CrossFit trainer and own my own gym so I have an extremely active lifestyle. I hike mountains and do water sports. I just suck it up in pain. I don’t take pain meds. Only the hard stuff works as my dna shows that I’m a nonresponder to most OTC pain meds. Luckily dna shows I have a gene for a high tolerance of pain. Lol. Please tell me that I can still have toe motion surgery in my failed Cartiva toe!? I’m in San Antonio. My Cartiva doctor was in Houston bc San Antonio had no doctors performing. SA seems slow to everything new. I’d appreciate any info. Thank you!
Hi Rita, we just sent you an email with some more information!
I also would like some information and a referral to a Podiatrist in Dayton Ohio or surrounding area
Hi Cindy, please let us know if you did not receive our email!
I have some arthritic issues in both big toes. I woukd like some additional information about this procedure, including orthopedists in my area who are using it, please. I live in Northern NJ. Thank you.
Marc, let us know if you did not receive our email!
Any doctors in the New Orleans area that perform this procedure?
We just sent you an email Harmony!
I have a severe left foot Bunion and arthritis in the joints of my feet. . Podiatrist recommends fusing. I’m a very active hiker. Need a second opinion with someone in Wisconsin who uses the HemiCap. Than you!
Hi Cindy, we just sent you an email!
Hi Cindy
I also have severe bunion deformity’s and arthritis of the big toe, wondering if you were able to get the big toe implant surgery at the same time correcting your bunion or did they have to correct your bunion first and then do your implant surgery?
Thanks
This is the article which I was looking for, this is going to help me out with my confusion really well. Nice piece of Information. Your blog is an awesome platform for the people who want the best info about sesamoiditis. Thanks and very well written.
I’m only 53. I had a cartiva implant a year ago. Worse pain now than prior to surgery and bad sesamoid pain for over 6 mos. There was subsidence of the cartiva implant noted within a few mos. Would I potentially be a candidate for this procedure since already had surgery on the toe? Any surgeons in the DC/Baltimore area doing theses? Thx
Sandy, let us know if you did not receive our email!
where the pain became unbearable. My surgeon wanted to fuse my toe, I refused. He then recommended and performed Interpositional Arthroplasty on both feet in 2017. It’s been approximately a year and the pain is still there. I now have other issues due to walking on the outer sides of my feet.
I went back to my surgeon, with tears in my eyes, because I should not be in this condition at my age. I am 60 yrs., and I have a 91 yr. old mother who walks and get around better than I. Not to mention it is pulling a strain on my relationship because I can not do the things we use to do.
My surgeon again have given me several injections and recommending fusion. I again refused. I showed him the Arthrosurface toe motion, and he did not recommend it. He now suggest I do Cartiva. After researching this product, I am not happy with the removal of a lot of bone. Plus there are many negative reviews. I am scheduling CT on my feet to see how much bone I have.
I went through you site to find local doctors in my area, not sure how many surgeries they performed and the hospitals are not the best. I live in the Philadelphia, PA area and like to use the training hospitals if possible. Can you please give me an updated list of surgeons in my area, and hopefully the number of surgeries they perform with Arthrosurface toe motion.
Hi Irma, we sent you an email today! Our local manager will be in touch with you shortly.
Hi, looking for an experienced surgeon in the greater Boston area. Please advise. Thank you!
John, just set you an email. Let us know if you have any other questions!
Is the hemicap implant available for the second MPJ? I have arthritis and a lot of pain in the joint due to multiple surgeries.
Hi Courtney, we just sent you an email!
Hi, I’m wondering if this implant will allow me to continue competitive running. Also does anyone do this procedure in the DC / Northern VIRGINIA area?
Hi Hunter, please let us know if you did not receive our email!
I am interested in a big toe fusion reversal. I had the surgery 3 years ago. I am really active and I can’t believe my doctor said this surgery would not affect my activities. So much pain and discomfort.
Hi Cody, we just sent you an email!
Recently had a big toe fusion and it’s not working. .Do have an doctors in the Nhs Midlands UK ?
Hi Saly,
Please let us know if you did not receive our email!
Hello,
I’m scheduled for a toe fusion but really don’t want a fused joint. I’m active and occasionally wear high heeled shoes. Is anyone in the Tampa Bay Area using your device?
Hi Denise, please let us know if you did not receive our email.
Can the toe motion implant be installed in a big toe that has been fussed?
Larry, we just sent you an email!
If you have a severe angled bunion with Arthritis in the joint do you need to correct the bunion first – 1 procedure- and then let the tendons settled into a new position and then do second procedure with the implants or can you go straight to the implant without any problems of the tendons interfering with the angle of the toe.
Hi. I injured my ft. last Jan. Went to ortho Surgeon. Pt and non-weight bearing 4 mos. trying to heal. I ended up up with nerve issues, from crutches, right side, due to a mastectomy and reconstruction. This was discover after many different Drs., PT, and also having issues left side due to overcompensating. Nerve issues are easing up some, but worried about crutches for surgery. I have a scooter now, and husband will work from home some. My pain is behind the big toe, more localized in that section of the ball of the ft., there. My ortho told me I had mild arthritis, recommended Cartiva. I’ve great range of motion of big toe. I’ve tried orthotics, made it worse. I’m a very active person. What is the difference in the 2 procedures, Are there Orthopedic Surgeons in the Boulder/Denver that do this, who are highly skilled. Wondering why my ortho didn’t recommend this to me. What are the differences, success, recovery time, being very active, and wearing normal shoes? No, I didn’t have radiation or chemo. I had a breast job. Please, Please Help. I want some answers and I need my life back. Cartiva vs your surgery?
Hi Lisa, we just sent you an email!
Hi. I had a metal hemi great toe implant in Nov. 2017. I did exercises at home and it was getting much better with pain and movement. Then in Feb. 2018 I was hospitalized for a month so the toe had very little movement and stiffened up. I have so much pain when I walk and try to bend it so I tend to go back to walking on the side of my foot. The doctor who performed the surgery recommended removal of the hemi implant as he said scar tissue has built up around the joint and he feels that will give me the support needed for the toe. He said sometimes small bones do not like the metal joint replacements. I have been to two other doctors, one recommending a fusion and the other a total joint replacement. Would removing the hemi implant be a viable option? Or what would be other options?
Hi Joe,
We sent you an email last week. Please let us know if you have any other questions.
Are there Orthopedic Surgeons in the Hertfordshire/London England that use this system
Hi Carol, we just sent you an email!
I am having a joint replaced in my big toe and I was wondering what the recovery time is
Hi Ron, we just sent you an email!
Hi, I have had brachymetatarsia surgery on my fourth toe on my left foot. It lengthened it to a normal size however , i have been left with extreme stiffness and no joint movement. Can this implant be customized to a size to fit the fourth toe metatarsals? If so I would love more information please as I am interested in the procedure. Thank you.
Hi Shelley, we just sent you an email!
I have had a great toe fusion (joint removed); Toe was set too high and now causing great pain on side ankle as I am unable to use great toe because its set too high and fused. Can one reverse a fusion and opt for a replacement (after fused)
Hi Kathy, please let us know if you did not receive our email!
Hi! I had asked my surgeon to fix the second hammer toe while he is in there doing a bunionectomy, thinking that the procedure for the hammer toe correction would be tendon lengthening or something similar since it was a mild deformitiy with no arthritis.
I just had my 6 week appoint to have the cast removed and start physical therapy. It was only during therapy that I found out that the PIP joint has been fused 🙁
Very disappointed, had I known I would have chosen not to get it fixed.
I am 35 and a very active mom of an infant and preschooler and I am sick and tired of the 3 months of non weight bearing.
My question is, can your product be used to reverse the fusion of the second toe? How long do I have to wait to get the infusion? Is it also a minimally invasive procedure or is it extensive? What is the down time? Do I regain normal mobility after the procedure?
Are there surgeons in Minnesota that are doing the procedure?
Thanks
We just sent you an email!
Hi i’d like to know if anyone who had a toe bone fushion reversed and had this newer procedure done n how were the results comparing! Please email me i’d lke to have this pricedure done better bcuz i am miserable with this bone fushion please help. I was not givin ant options at he time when i was getting my surgery done. If i had kniwn there were other options i would’ve never had this procedure done.. My email add. Is j.king068@yahoo.com😒
Hi my question is if Medical Insurance pays for this new method, thank you
Hi, I would like to know what kind of Insurance pays for this new method
Hi Christina, please let us know if you did not receive our email!
Will need to have this done this year. Hoping there’s a surgeon near me.
Hi Brenda, we just sent you an email!
Hello, I have had the big toe on my left foot fused three years ago and now get severe pains in the ball of my foot because my big toe is not taking the load. Can you advise if you are able to assist? I am a keen Fell walker and want to regain painless mobility.
We sent you an email last week, please let us know if you didn’t receive it!
Hello, I did reply and stated that I live in Alfreton, Derbyshire, UK. Is there somewhere that your procedures can be carried out over here? Thanks, Steve Milner
Hi I had mig big toe fused almost a yr ago still in a ton of pain and i believe the toe is set too high and hitting the next toe when i bend that last joint..it doesn’t hit the ground at all..so really no balance..and I also have dropped met head on 4th toe and the third toe hammer was fixed but it was set too low to the ground so it hits ground first on push off really painful ..the podiatrist/surgeon has not given me very many options to correct all this. I am also in Mass if you have any surgeons you would recommend..I am seeing an Pod should I see an ortho.
Michelle, please let us know if you did not receive our email!
Hi
I had the hemicap surgery 3 years ago. I am still in pain a nd have been told that I am one of the unsuccessful cases. I am considering stem cell injections, before I go to the extreme and have my toes fused. Can the Hemicap be removed? Will Stem Cell therapy be able to grow cartílago after the Hemicap is removed? I’m desperate. Please advise. Thank you
Hi. I was wondering if anyone whom had a fusion of the greater toe suffers pain at the fusion site? . As my fusion is United but suffering bony pain at the fusion site. Also unable to tolerate shoes.
Hi Sal,
Where exactly is your pain? On top or underneath? if underneath it could be the sesamoids? Also have you had the hardware removed? How long is it since you had your Fusion?
Cheers
Jody
My co worker had this done and quite frankly seems like your product does not work, she’s in worse pain now then before she had the impant, obviously they are trying to sell the product so for people thinking they might want the product think twice they are salesman trying to meet quota. This product is a joke and not worth the money( a crap ton of money at that) and the pain.
Hi Alyssa, every case is different and every doctor uses a different approach, but our data suggests that most patients have a good outcome with our Toe Implants. We encourage your coworker to follow up with her surgeon or contact us directly for a list of surgeons in her area if she’d like a second opinion. Her situation seems unique and we’d like to provide any information we can to help.
My wife experienced the same pain in the sesamoid bones after having the hemi implant. 3 years later she added the phalangeal implant to complete the joint replacement and is still experiencing the same pain as before. Her joint arthritis is worse now than before having the implants. Her doctor says fusion is the only tried and true method of relieving pain, but she is very skeptical of having a 3rd unsuccessful surgery. Anybody out there have successful pain management experiences. She is young and unable to be active with our 4 kids. We want to take a trip to Disney, but she is going to most likely need an electric wheelchair to participate. She is 36.
Hi Clay, we just sent you an email. Please let us know if you did not receive it.
Hello, I am from Montreal, Quebec, Canada. I have hallux rigidus in both feet and would like to know if there are surgeons in Canada who perform the ToeMotion® procedure. I have been told by several surgeons that the only option for me is fusion but I am not convinced. I am very active want to explore the ToeMotion® option. Looking forward to your reply. Thank you.
Hi Ildiko- we just sent you an email. Please let us know if you did not receive it!
I had a 1st MTP joint fusion done 5 years ago that I regretted from the beginning. I was left in worse condition than before it was done. Is there good success with reversal of the fusion and would it likely be covered by insurance? I live in Exeter, NH, is there a local physician that I could consult with? I am a 57 year old female who used to love walks with my pups, but it has become a challenge.
Thanks
Hi Lee, we just sent you an email. Please let us know if you did not receive it!
I had fusion, Left great toe and hammertoe correction on the second toe…on 11/08/18…I am no longer active because I cant bend those toes. I am 65 with no medical issues, but now putting on weight because I cant do my walking exercises. The pain walking now is greater than the pain I had before the surgery…can your product put movement back in these toes?
Hi Jeannie, we just sent you an email!
I would like to understand the difference and have a comparison between Arthrosurface ToeMotion and Cartiva implant. How long does Arthrosurface last? I’m scheduled for Cartiva in 5 weeks. Also Inlive in Wyoming and when I search doctors can only find one using my area code. I was hoping I could get a list of all wyoming surgeons, as well as Northern Colorado and the Saly Lake City area (when you live in Wyoming traveling 4-6 hours for healthcare is common).
Hi Diane, please let us know if you did not receive our email!
Hi! I had surgery 3 times by the same doctor who convinced me at the age of 19 that joint fusion was my only option. I’ve had some many complications from the surgery and each surgery cause me more and more complications. I’m so angry at myself for being so young and gullible and not reasearch other doctors and options for corns on the toes. I haven’t shown my toes for 15 years because he also did a careless job of fusion my toe joints because they are crooked and no straight. It’s my 2nd and 3rd toe next to big toe on both my feet that are fused. I’m praying that there is a doctor that can reverse toe fusion and add flexibility back as well as fix the other issues that it caused. Is joint fusion reversible? And would you be able to use your new method as my alternative?? Please email me information, this could be the biggest blessing finally.
Please let us know if you did not receive our email!
Please let me know if there is a surgeon in the Sarasota/Venice FL area who can help reverse big toe fusion. Walking even short distances is difficult and now the ball of foot is painful.
Hi Ellen, we just sent you an email!
Hello I have had a Cheilectomy on one of my big toes aprrox 3 years ago. Would I still be a candidate for arthrosurface? I have severe Hallux rigidus in both feet. Pain everyday.
Hi Paul, please let us know if you did not receive our email!