Cartiva Failure: what to do when the Cartiva implant for great toe arthritis fails
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- Опубликовано: 15 сен 2024
- The Cartiva implant was considered to be a revolutionary treatment for great toe arthritis. It came out with a splash and initial studies to get Cartiva through FDA approval showed exceptional results.
Our group, University Foot and Ankle Institute, was involved with helping launch the product and educating surgeons on how to use the implant. Initially, we were very excited to be involved but quickly realized there was something wrong.
We have seen multiple patients where either the implant hasn’t been place properly or it has sunk into the bone over time.
We ordered MRI and CT scans to figure out why the implant was failing. We also reached out to other early adopters and learned they were having similar issue. Our results were very different from the original study.
We felt compelled to find out what was going wrong and we reached out to the company and alerted them to the issues. I recently met with the company that owns Cartiva and its representatives at a national foot and ankle meeting. I alerted them to the issues and mass failures we are seeing and suggested they see why this is happening. They were very courteous but less than interested and began to quote studies saying the implant and their internal studies are great.
The good news here is it’s fixable. There are multiple companies working on replacement systems (we prefer Arthrosurface) 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. A woman can wear a 2-inch pump following a fusion, and for men it is the best surgical option.
#failedcartiva #cartivafailure #halluxrigidus #cartivaimplant #bigtoearthritis
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I had Cartiva implants done by a doctor in this group (UFAI) but after a few years my toe joints started getting painful again. I went back to the doctor and he did bone fusion. Long recovery period, but no discomfort now - I was able to start running a few months after the surgery and after 18 months my race times are almost as fast as before the fusion.
Surprised you are running ok. That's great.
I'd give anything if I could do the things I used to. It gets worse every day.
Why not skip the Cartiva Implant and use the Ortho Surface Implant initially? I ask because I am to the point of having to get help with, what I consider, a severe case of Hallux Rigidus.
I had a Cartiva implant done by this same Institute and it failed. They no longer do it and a lot of other places do not either. My doctor recommended either the system recommended in this video or joint fusion. I had the fusion done and it was successful.
All implants fail in time.
Having my great toe fused was the worst thing I could have ever done. I
am desperately searching for a surgeon who has been successful in
fusion reversal. I was an athlete and now I have trouble walking. I
absolutely hate it.
:-( hope it gets better
I refuse to get a fusion I’ve had 4 doctors push it on me I was almost ready to cave in I’m an ex athlete I can’t imagine your pain
@@reaper110588Don't let anyone talk you in to it. I would give anything to have said no. It is such an easy surgery to perform. They aren't kidding when they say it's the gold standard. It blows my mind that surgeons assume this is the answer. There are some who think outside of the box, but there aren't any in Albuquerque, NM.
I've had nothing but issues (pain) since getting this. Now I have to get surgery to correct it.
If a cartiva implant fails, will a fusion caused the great toe to be shorter?
A lot shorter. A LOT shorter. A good doc will peform a bone graft to maintain the length of the ray. Mine is at least 3/4 inch shorter.
Have heard from more than a few orthopedic surgeons to avoid this implant. Concerns me that this is the only option he discusses - feels like marketing more than medicine.
I'm thinking my new implants are failing.
Where are you located?
Cindy He said he’s in LA. I’m having it done in 2 wks.Can you tell me about your post op experience? Trying to prepare.
"Options are some form of other implant." How about including a fusion as an option. Afterall, it is the gold standard with the most successful outcome.
My surgeon told me a fusion in the big toe would limit my activity. Hence the reason I’m searching for new option.
@@susannorman4483 I've had a fusion in both big toes. Over 20 weeks post op I am back to my old workouts, powerwalking twice a day.
Because fusions are not the best for some. I hate mine. It has ruined my life and I want it reversed.
Nutty signs, I’m wondering how it has ruined your life? Do you have limited mobility or do you have chronic pain?
Not for me. That gold standard made my life miserable. It is NOT golden for everyone and Docs need to think about that. They know it fails, too, but they will NEVER admit it. Gaits should be evaluated and 3D radiographs should be taken. Docs assume it will work for you and when it doesn't they run the opposite direction. Have you ever heard of a Doc revising their own fusion? No, you have not.
I thot was my implant failing but it's sesamoiditis.
Carteva sounds not great.
Fusion is not so great.
@@sknuts2783 true. Carteva sounds better than fusion.