cartiva implant patient portal

by Justina Gleason PhD Published 3 years ago Updated 2 years ago 6 min read

Cartiva Implant for Big Toe Arthritis

33 hours ago The implant procedure takes about 30 to 60 minutes. Patients can go home on the same day. The surgeon makes a two-inch incision along the top of the toe to remove a piece of the bone and create space for the new cartilage. The implant does not require glue or cement to stay in place. >> Go To The Portal

What is the cartiva implant?

The implant procedure takes about 30 to 60 minutes. Patients can go home on the same day. The surgeon makes a two-inch incision along the top of the toe to remove a piece of the bone and create space for the new cartilage. The implant does not require glue or cement to stay in place.

Do you need a bone graft for a cartiva implant?

Dec 29, 2020 · During surgery, an implant made of the same organic polymer as a contact lens is used to replace the injured cartilage. It is an outpatient procedure that often takes less than an hour to complete. During surgery, a 4-5 cm incision is made and the joint is exposed. Your surgeon will remove the injured cartilage as well as any bone growth.

Do cartiva implants work for arthritis of the great toe?

Using an implant called Cartiva, the orthopedic surgeon is able to make a small incision on the top of the toe and remove damaged bone in the toe joint. The gel-like implant is placed into a small hole in the bone and secured with cement or glue. The implant is made of a smooth organic polymer (plastic) that functions similar to cartilage.

How are cartiva toe implants inserted?

Feb 21, 2019 · The Cartiva implant is a mainly water-based implant. It is placed in the great toe joint with a hole that is made into the metatarsal head. The implant is pressed fit into the hole and acts similar to regular cartilage, allowing motion of the joint. The procedure is extremely easy to perform and reproducible in the operating room.

How long will Cartiva implant last?

Studies have confirmed the durability of Cartiva implants over a five-year period, with zero material failures reported.Dec 15, 2020

How successful is the Cartiva implant?

"A greater than 95 percent success rate. The failure rate is typically easy to resolve, in that the patient can go back and have a fusion done." Resurgens is performing about 12 to 15 surgeries a month using Cartiva, which, Gleason says, holds up better than previous implants they've used in the big toe.

How long is Cartiva surgery recovery?

Recovery begins immediately after surgery. Your surgeon will encourage you to begin moving your foot as soon as you can tolerate it after surgery. With the help of a physical therapist and doctor, patients are usually back to normal activities within 6 weeks.Apr 12, 2018

Why does Cartiva fail?

The only problem with the Cartiva implant is that the results we saw at our institutes were far less successful than those noted in Cartiva's studies. We were seeing failures due to the implant slipping into the bone, a process referred to as subsidence.Feb 21, 2019

What happens after Cartiva surgery?

The recovery from the implant procedure requires the patient to wear a soft boot for 2-3 weeks. After a follow-up visit to their orthopedic surgeon, the patient begins physical therapy or a home exercise program. Doing range of motion exercises helps prevent scarring and achieve optimal results.

How much does Cartiva surgery cost?

Cartiva's implant is priced between $3,500 and $4,000. A fusion of the big toe, excluding a metal implant, costs between $4,000 to $6,000, said James Laskaris, an emerging-technologies analyst with MD Buyline, which provides clinical and financial information to hospitals.Oct 19, 2016

How long do toe implants last?

Frequently Asked Questions. Q: How long does a toe joint replacement prosthetic last? A: The new generation of prosthetic joints lasts longer than ever. In most cases, prosthetic joints can hold up for longer than your bone and on average our center has seen joints last over 10 years or more.

How successful is big toe joint surgery?

The precise amount of toe lengthening depends on factors such as soft tissue scarring and the patient's circulatory health. The structural bone graft fully incorporates by about eight to 16 weeks after surgery. Successful healing occurs in approximately 90% of patients who comply with postoperative restrictions.Mar 27, 2020

Is Cartiva a joint replacement?

The Cartiva® SCI is a synthetic joint replacement, which is exactly what it sounds like. The joint between your toe bones has worn down and no longer functions properly.

Can a toe implant be removed?

Although surgical correction of the failed silicone implant in the first metatarsophalangeal joint can be technically difficult, three surgical treatment options are available: implant removal, implant replacement with a new device and bone block arthrodesis.

Who owns the Cartiva implant?

Dutch medical device company Wright Medical Group has closed the acquisition of US-based orthopaedic devices maker Cartiva.Oct 11, 2018

How long is recovery from big toe joint replacement?

Recovery from toe joint replacement surgery may take about eight weeks before the bones and soft tissues are well healed. Patients may be placed in a wooden soled shoe, or a cast, while the bones heal. Crutches may be needed briefly and a physical therapist may be consulted to teach their proper uses.Jul 6, 2020

What is the FDA approved implant for?

According to the FDA, the Cartiva synthetic cartilage implant is designed, approved and supported for surgical placement in individuals having degenerative arthritis in the MTP joint.

What is the procedure to fix arthritis in the big toe?

For years, the go-to procedure for severe arthritis of the big toe was fusion surgery , known as arthrodesis. The process involves removing damaged cartilage and then stabilizing the joint by inserting pins, screws or a plate, thus allowing the bones to grow and fuse slowly together.

A NEW SOLUTION FOR PAINFUL ARTHRITIS OF THE BIG TOE

ONS orthopaedic foot surgeons, Dr. Michael Clain and Dr. Mark Yakavonis, are among the few in the country using a new synthetic cartilage implant to treat painful arthritis in the big toe joint (metatarsophalangeal or MTP joint). The implant is composed of a bio-compatible, organic polymer that functions similarly to natural cartilage.

THE PROCEDURE

What is Synthetic Cartilage Implant Surgery?

During surgery, an implant made of the same organic polymer as a contact lens is used to replace the injured cartilage. It is an outpatient procedure that often takes less than an hour to complete. During surgery, a 4-5 cm incision is made and the joint is exposed. Your surgeon will remove the injured cartilage as well as any bone growth.

What is the advantage to a Cartiva synthetic implant?

Before this newest surgical option, arthritis was commonly treated with pain killers and joint fusion. Pain killers are not a permanent solution, and joint fusion often reduces the pain of arthritis, but greatly limits mobility.

Is synthetic cartilage implant surgery for the big toe right for me?

If you are suffering from arthritis affecting your big toe (hallux rigidus) speak with your physician about a referral to consult an orthopedic foot and ankle specialist. Each person is unique, but most people with this condition are eligible for Cartiva implants. Currently, Cartiva is only approved for the treatment of arthritis of the big toe.

Cartiva Synthetic Implant Surgery Naples, Florida

NASA Orthopedics is one of the first Naples offices to offer the new Cartiva synthetic cartilage implant. Cartiva implants are performed by Dr. Chirag Patel, an experienced surgeon with a strong commitment to returning all patients to their peak performance.

What is a gel implant?

The gel-like implant is placed into a small hole in the bone and secured with cement or glue. The implant is made of a smooth organic polymer (plastic) that functions similar to cartilage. It provides a smooth, slippery, weight-bearing surface for the joint. Immediately following surgery, your foot will begin bearing weight in order ...

What is the term for the breakdown of cartilage in the joints?

Osteoarthritis is a gradual breakdown of cartilage in the joints that results from wear and overuse. It can occur in any joint and causes a lot of pain. When it occurs in the joint of the big toe known as the metatarsophalangeal joint, it can severely impact a person’s mobility and lifestyle.

What is the joint of the big toe called?

When it occurs in the joint of the big toe known as the metatarsophalangeal joint, it can severely impact a person’s mobility and lifestyle. The Center’s orthopedic surgeons that specialize in foot and ankle conditions are now offering a solution that can help patients suffering from toe arthritis, also known as hallux rigidus, ...

What is hallux rigidus?

The Center’s orthopedic surgeons that specialize in foot and ankle conditions are now offering a solution that can help patients suffering from toe arthritis , also known as hallux rigidus, that want to keep their foot’s motion and relieve pain.

How long do you have to wear a shoe after toe surgery?

The recovery takes longer, patients cannot do weight bearing activities immediately after surgery and must wear a special shoe for up to six weeks after the procedure.

How long after surgery can you exercise?

Doing range of motion exercises helps prevent scarring and achieve optimal results. Patients can begin to resume normal activities 5-6 weeks after surgery in normal footwear.

What is Cartiva?

The Cartiva implant is a mainly water-based implant. It is placed in the great toe joint with a hole that is made into the metatarsal head. The implant is pressed fit into the hole and acts similar to regular cartilage, allowing motion of the joint.

Why does the Cartiva implant fail?

The only problem with the Cartiva implant is that the results we saw at our institutes were far less successful than those noted in Cartiva’s studies. We were seeing failures due to the implant slipping into the bone, a process referred to as subsidence.

Why University Foot and Ankle Institute no longer uses the Cartiva Implant

Cartiva, a synthetic cartilage implant that can be used to treat great toe arthritis.

What to do if you have a failed Cartiva implant?

The good news here is it’s fixable. There are multiple companies working on replacement systems if you must have a toe joint replacement. I will detail these further. If you just want to be out of pain, get on with your life and have no more issues, your best option is a great toe joint fusion. Fusions work great when done right.

My personal thoughts about joint fusion

I would not be doing my job for my patients if I didn’t speak about joint fusions as an option. Any implant will fail with time and wear and tear. A fusion will not. Any implant can get damaged with pounding and hard exercise. A joint fusion will not. Any implant will need to be replaced again, if only because of time. A joint fusion will not.