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Arthritis of the big toe is very common in our community across all ages and activity levels. The joint involved is called the 1st metatarso-phalangeal Joint. Arthritis is a loss of normal cartilage. Cartiva is a relatively new Synthetic Cartilage Implant. It has physical properties that are very similar to normal cartilage.

The most reliable procedure for arthritis has always been a fusion. A fusion of the joint is considered the ‘Gold Standard’ operation.


Ankle degenerative joint disease, traditionally called arthritis, is a debilitating condition. The current gold standard is an ankle fusion. However this is not a perfect solution. Interest in ankle replacement has been increasing in Europe and North America to try and improve outcomes for these patients. The results have continually improved so that now total ankle replacement is a accepted alternative to ankle fusion.