07/28/2026
🦶 Tuesday Foot & Ankle Research Update
Can joint replacement preserve motion in patients with arthritis of the big toe?
A recent 2026 Journal of Foot & Ankle Surgery (JFAS) systematic review and meta-analysis compared Cartiva® synthetic cartilage implantation with first MTP joint fusion (arthrodesis) for the treatment of hallux rigidus (arthritis of the big toe joint). Researchers found that while both procedures provide meaningful pain relief, fusion continues to demonstrate the most reliable long-term outcomes and lowest risk of revision surgery. Cartiva remains a reasonable option for carefully selected patients who prioritize preserving motion, but it may carry a higher likelihood of additional surgery over time.
👣 What does this mean for patients?
There is no one-size-fits-all procedure. The “best” operation depends on your activity level, goals, severity of arthritis, and desire to maintain motion versus maximizing long-term durability. A thorough evaluation helps determine which option is right for you.
If pain in your big toe is limiting your daily activities, we’d be happy to discuss your treatment options.
📞 Cortese Foot & Ankle Clinic
☎️ 309-452-3000
Reference:
The Journal of Foot & Ankle Surgery. Volume 65, Issue 4 (July–August 2026). Cartiva or Fusion for Hallux Rigidus? A Systematic Review and Meta-analysis.