Arthritis of the first metatarsophalangeal joint ( great toe joint) is a common problem we see patients for at Advanced Podiatry. The progression of arthritis leads to a reduction of motion, cartilage degeneration and severe pain with the propulsive phase of the gait cycle. Arthritis does occur in stages and in the late stages of deformity we often have a hard choice of joint fusion vs. joint replacement surgery.
Dr. Hendizadeh has helped train our physicians to become proficient in an excellent joint replacement option utilizing the Swanson Implant, a well documented silastic implant that has been proven over four decades to provide excellent long term outcomes for our patients with great toe arthritis. The implant has evolved since that time and is now more durable than ever and the operation itself has become simpler and more reproducible.
This type of surgery is selected based on your goals and a detailed discussion with your surgeon. If you wish to wear heels, a joint fusion may make it impossible for you to walk in such shoe-gear, therefore the toe replacement has become a mainstay therapy of end-stage arthritis to get you back into the shoe gear of your choice. If you wish to learn more about the implant please visit https://www.wright.com/footandankleproducts/swanson-flexible-hinge-toe
If you suffer from great toe arthritis just know there are good options available for long term pain relief. We will work with you to determine the best plan of action and improve your quality of life. Happy holidays Everyone!