New Treatment for Hallux Rigidus

Introduction

Hallux rigidus, also known as hallux limitus, is a common condition that affects the big toe joint, causing stiffness and difficulty in movement. It is caused by arthritis and bone spurring, which leads to increased pain and stiffness. Traditional treatment options include medication, physical therapy, and steroid injections. However, for moderate to severe hallux rigidus, surgery may be necessary. A new surgical treatment option, called Cartiva, has been developed to treat hallux rigidus without Fusion.

What is Hallux Rigidus?

Hallux rigidus is a form of degenerative arthritis that affects the large toe joint. It is caused by damage or loss of smooth articular cartilage, resulting in a narrowed joint space, rubbing of the raw bone ends, and formation of bone spurs on the top of the bones. This condition can be particularly challenging for athletes, leading to reduced mobility and increased risk of injury.

What causes Hallux Rigidus?

Hallux rigidus can be caused by a variety of factors, including trauma, overuse, wear and tear, family history, and certain medical conditions. It is more common in women than men and typically affects people aged 30 to 60.

What are the signs and symptoms of Hallux Rigidus?

Symptoms of hallux rigidus usually start with mild discomfort in the big toe joint, which worsens over time. Patients may experience pain and stiffness in the big toe, particularly when the big toe is bent or extended, as well as swelling and inflammation in the joint.

How is Hallux Rigidus diagnosed?

Hallux rigidus is diagnosed through clinical examination and radiography. X-rays can show the severity of arthritic change and joint damage to the big toe. In some cases, more advanced imaging, such as MRI or CT scan, may also be performed.

What are the treatments for Hallux Rigidus?

Treatment for hallux rigidus typically begins with non-surgical options, including medication, shoe modifications, andCustom insoles. Non-surgical treatments can be effective in mild to moderate hallux rigidus.

What are the surgical options for Hallux Rigidus?

Surgical treatment for hallux rigidus may include:

Cheilectomy: A surgical procedure to remove bone spurs and debride the joint surface to preserve the joint and maintain motion
Interposition Arthroplasty: A surgical procedure to remove damaged bone and place a synthetic material between the bones to minimize contact and preserve joint motion.
Hemi-Head IMAR: A surgical procedure to resurface the affected joint with a hemi-head implant made of biocompatible material to replace the damaged articular cartilage.

What are the benefits of the new Cartiva Treatment for Hallux Rigidus?

Cartiva treatment offers several benefits over traditional fusion surgery, including:

Cartiva treats the disease without fusing the toe joint, preserving mobility and reducing the risk of additional complications.
The procedure can be performed in an outpatient setting with local anesthesia, making it more convenient for patients.
Recent studies have shown high patient satisfaction rates, with more than 90% of patients experiencing significant pain relief and improved functionality post-operatively.
recovery time is similar to cheilectomy, and patients are able to start weight-bearing immediately following the operation.

##The new Cartiva treatment for hallux rigidus represents a significant advance in the treatment of this common condition. By preserving joint motion and avoiding fusion, patients can enjoy improved mobility, reduced pain, and a faster recovery. If you are a candidate for this procedure, contact a qualified foot and ankle surgeon to discuss your options.