Hallux Rigidus (1st toe arthritis)

• Degenerative condition of 1st metatarso-phalangeal (MTP) joint

• Characterized by painful and stiff 1st toe

• Dr. Marsh does a variety of procedures for 1st MTP arthritis including cheilectomy (debridement), Cartiva® arthroplasty and fusion (gold standard)

  o   Chielectomy is a debridement of the dorsal osteophyte (bone spur) to decrease extension related pain and improve range of motion of the toe

  o   Cartiva® arthroplasty is an open procedure that implants a polyvinyl implant into the metatarsal head to increase joint space, decrease pain and preserve range of motion

  o   Fusion is an open procedure which eliminated 1st MTP motion through a combination of screws and plate. It decreases pain but eliminated motion. 1st MTP fusion is the gold standard for 1st MTP arthritic pain