Toe HemiCAP® Implants

toe fusion alternativestoe fusionMany patients are looking for a treatment option that “bridges the gap” between a cheilectomy and a fusion plate so Arthrosurface designed the HemiCAP® implants to match not only the diameter of the damaged area but also the precise radius of both curvatures on the patient’s joint surface. Different diameters & curvatures are available to provide a proper fit for each individual patient.

The Toe HemiCAP® implant system is a toe replacement alternative and is designed to match the shape and contour of each individual patient’s joint surface. A contoured cap replaces the area of damaged cartilage and is designed to protect the remaining (healthy) cartilage in the joint. Instead of a one-piece toe implant with a stem built in, the HemiCAP® is two separate components, a cap and screw that mate together via morse taper lock. One-piece, stemmed toe implants have been shown to loosen, whereas the HemiCAP® screw system has been a stable construct with no reported loosening over the last 14 years. The idea behind the system is to prevent further damage to the joint while maintaining the patient’s native anatomy and motion.

toe joint pain

For patients with extensive damage on both sides of the joint, Arthrosurface® also provides a total toe restoration called the ToeMotion™ system. This consists of the Toe DF HemiCAP® implant on the metatarsal side of the joint and a metal baseplate with plastic insert for the opposing (phalangeal) side of the toe joint. The Arthrosurface® total toe is different than other existing replacements because 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 surrounding tissue attachments which are needed to maintain stability and lift-off for walking. The Arthrosurface ToeMotion™ is also the only total 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 and eliminate toe pain, receiving a toe fusion is not a viable or appealing option because the toe will never bend again. With the Arthrosurface HemiCAP® and the ToeMotion® Systems, patients now have a toe surgery option that is minimally invasive, completely stable and motion-preserving, allowing patients to retain their active lifestyles.

total hip replacement    toe replacement

How are the Arthrosurface® Systems different than other existing devices?

toe joint replacementtoe implantWith the Arthrosurface® Systems, the surgeon only restores the damaged area of the joint, similar to the way a dentist fills in a cavity, leaving the rest of the structures in your joint intact. This way, your native anatomy is preserved. The exposed and painful bone is covered, while all the structures in your joint that help you move and function properly are left in place allowing you to return to your normal active lifestyle.

  • It is custom matched and fit to a patient’s joint size and shape
  • Significantly less cartilage and bone is removed than traditional joint replacements
  • It is placed into the surface rather than on top, leaving the joint less surgically altered
  • Joint motion and the native structures are preserved so no bridges are burned

The HemiCAP® implant was the first implant designed for the metatarsal side of the joint, which is where the arthritic changes begin. This side also tends to have more wear and tear as well as spurring. Other hemiarthroplasty devices replace the phalangeal side, which may still have remaining cartilage and fails to address the primary disease site, which is the metatarsal.

toe joint surgery

For many patients who have widespread arthritis with damage on both sides of the joint, the Arthrosurface ToeMotion™ system can also be a great option. The system restores both sides of the joint by implanting a HemiCAP® on the metatarsal side and a metal baseplate with plastic insert on the opposing side of the joint. Unlike standard total toe replacements or fusions, the ToeMotion™ system can restore a natural range of motion while alleviating or eliminating pain.

toe pain

Are you a candidate for an Arthrosurface® toe procedure?

An Arthrosurface joint restoration procedure is for someone who has been told by their doctor, orthopaedic surgeon or podiatrist that they have damaged cartilage and/or an arthritic joint. After trying non-operative treatments, such as orthotics, shoe modification, steroid injections, physiotherapy, pain and anti-inflammatory medications, the pain remains problematic and debilitating. Most likely, you have been told that your next option will require surgery which may limit your motion or your ability to wear certain types of shoes depending on the procedure. The Arthrosurface® Toe HemiCAP® systems are indicated for the treatment of patients with the following clinical conditions:

  • Hallux rigidus
  • Hallux limitus
  • Hallux valgus
  • Have an unstable, stiff and/or painful toe joint
  • Have been diagnosed with Arthritic Toe Joints (arthritis)
  • Aged 35 to 75 years old and want to regain your active lifestyle
  • Do not want to lose the mobility of the joint
  • Want to be able to bend your toe, reach up and kneel again
  • Want to wear normal shoes such as high heels or boots
  • You want to fix your toe problem now vs. waiting for your toe to undergo further damage
  • You have been told by a surgeon that you will need a toe fusion

*Seek professional medical advice for specific personal care.

Surgical and Recovery Expectations

toe replacement

In multi-center studies, patients reported outstanding pain relief, rapid recovery times and significant range of motion improvements. The procedure may be performed on outpatient basis.

Every surgery has risks and your prospects for a safe and successful surgery must be evaluated with your surgeon. A successful joint restoration procedure may significantly improve your quality of life by reducing pain and restoring function. Many patients return to full activity after rehabilitation and go back to doing things that they had previously given up due to a painful joint.

After the surgical repair of a joint, your surgeon will provide you with specific post-operative instructions which you need to follow carefully. Post-operative rehabilitation recommendations will vary depending on the invasiveness of your surgery and your individual recovery patterns. The immediate focus in all surgeries will be on swelling and pain management. In some cases you may wear a brace for a few weeks and will be prescribed exercises and activities to begin strengthening your muscles.

Here are a few helpful suggestions as you recover and rehabilitate from your toe surgery:toe surgery

  • Follow the recommendations of your surgeon and physical therapist.
  • Keep a log to track your progress as you recover and increase activity.
  • Ask for assistance from family and friends to help with chores and errands during your recovery.
  • Walking aids such as crutches or a cane may reduce stress on your operated toe
  • Eliminate possible tripping hazards in your home – wires, cables, rugs, etc.
  • Return to any moderate or demanding activities should be guided by your tolerance for weight bearing.

We wish you good luck with your decision and your treatment

total hip replacement

Toe HemiCAP® systems are approved for use in the USA, CE Marked countries and many other markets around the world. The ToeMotion Total Toe System is approved for use in the USA and CE Marked countries only.

NEWs / updates / blog


  • Quick Facts

    • The Toe HemiCAP® Implants are custom matched and fit to a patient’s joint size and shape
    • Significantly less cartilage and bone is removed than traditional total joint replacements
    • It is placed into the surface rather than on top, leaving the joint less surgically altered
    • Rock-Solid Fixation between the Cap & Screw
    • Severe Toe Pain & Toe Arthritis can be treated with the Toe HemiCAP Implants
    • If you can’t move your toe, you should ask your doctor if this is right for you
    • The Toe HemiCAP & ToeMotion are great alternatives to a Toe Fusion
    • Allows patients to Stay Active