ToeMotion Modular Toe is Now Available!

May 30, 2014

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 ToeOptionscommon 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.

TotalToeXraysWith 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.

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29 responses to “ToeMotion Modular Toe is Now Available!”

  1. Theresa Greene says:

    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

    • Ryan says:

      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.

  2. 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.

  3. Kate says:

    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!!!

  4. Ami says:

    Are implants available for the interphalangeal joint of the big toe?

  5. 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

  6. Joseph Rupe says:

    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?

  7. Annette says:

    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??

  8. Mike says:

    I am interested in the Arthrosurface, can you tell me if there are any recommended surgeons in the Sarasota, FL area?

  9. Krista says:

    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.

  10. Umesh Damania says:

    Hi there.. Is this available in the UK? Thanks

  11. James regnier says:

    Can you recommend a surgeon near Westport, CT. who is doing this procedure?


  12. Toni says:

    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?

  13. kayla says:

    How is the HemiCap better/different than Cartiva synthetic implant?

  14. Molly says:

    Hi, I would like to know who I might see for this procedure in Massachusetts.

  15. Renee says:

    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

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