Joint Pain?

Find relief, mobility and freedom

Replacement Cartilage &
Breakthrough Products

for upper and lower extremities and larger joints

Cartiva SCI is approved for use in the MTP joint in the United States.
Cartiva SCI is approved for use in CE Marked countries and other markets around the world.

Chronic toe pain?

Articular cartilage is the smooth, white tissue that lines the bony surface of joints like your knees, toes, ankles and elbows. It keeps your joints moving smoothly without grinding on your bones.

Joint pain may be a result of this thin layer suffering damage. Articular cartilage injuries can happen as a result of sports activity, traumatic injury or daily wear and tear. Unlike bone and other connective tissue types, cartilage has little or no ability to repair itself.

The most common site of osteoarthritis in the foot is at the base of the big toe. This joint, called the metatarsophalangeal, or MTP, joint, is subjected to a great deal of stress, bending with each of the thousands of steps we take each day.

Lynne C.
“For years, I was walking on the sides of my feet in attempts to avoid putting pressure on my great toes. As a result I also experienced back pain, I tried almost every alternative, such as injections to the joint, which did not provide relief.”
Maureen L.
“The osteoarthritis caused terrible pain in my toe and there were times when the weight of the bed sheets would cause pain. As a result, I walked on the sides of my feet, which further impacted my knees and hips.”

Treatment options

Traditional Method

When damage to the joint is severe, arthrodesis, or fusion, is the current standard of care. In this procedure, the damaged cartilage is removed and pins, screws or a plate are used to fix the joint in a permanent position. Gradually, the bones grow together.

The main advantage of this procedure is that it is a permanent correction with elimination of the arthritis and pain. The major disadvantage is the restriction of movement of the big toe and the resulting limitations on certain daily and sport activities. You may also have difficulty wearing a shoe with a heel higher than one inch.

Elimination of joint restricts mobility and limits activities.

Cartiva Treatment

Cartiva Synthetic Cartilage Implant (SCI) is a revolutionary implant that is designed to replace the damaged cartilage surface. Cartiva SCI is made from polyvinyl alcohol (PVA), a material that has been used in a number of medical device applications for more than 20 years. Through a proprietary manufacturing process, Cartiva SCI is designed to mimic the properties of natural cartilage.

Cartiva SCI is approved for use in the MTP joint in the United States. Cartiva SCI approved for use in CE Marked countries and other markets around the world.

Cartiva SCI restores normal anatomy to the joint

After Cartiva

Lynne C.

“The experience has just been wonderful- the best thing I’ve ever done. The biggest benefit of the procedure is the reduction of pain in my great toe. I would recommend the Cartiva implant to future patients suffering with joint pain.”

Maureen L.

“I’m back to walking two miles a day and keeping up with my five grandchildren, Additionally, I am back to teaching dance classes!”

Making Decisions With Evidence

Cartiva MOTION Study Clinical Results

Pain Reduction
Down 79%

Functional Improvement
Up 110%

Range of Motion

Other Benefits
Few  safety concerns
(equivalent to fusion)

No  wear debris or osteolysis
No  significant radiographic findings

Study Conducted
at  Leading 
research institutions in
UK   & Canada

Cartiva SCI works like natural cartilage

Synthetic No risk of viral or bacterial transmission associated with human or animal derived materials
Biocompatible Composed of saline and an organic polymer. No systemic irritation in 10+ years of clinical use
Biostable Does not degrade
Durable Mechanical and physical properties similar to native cartilage Capable of withstanding repetitive loading typical of MTP, knee, talus and other joints
Compliant Suppleness and flexibility allows for ease of handling and implantation
Slippery Low coefficient of friction aids joint articulation and mobility

Hammertoe overview

Hammertoes, deformities of the second, third or fourth toe that cause the toe to bend at the middle joint instead of pointing forward, are one of the most common deformities of the lesser toes, affecting one-third of the general population . This abnormal bending can put pressure on the toe when wearing shoes, causing problems to develop:

  • Pain and stiffness during movement of the toe
  • Painful corns on the top of the toe from rubbing against the top of the  shoe’s toe box
  • Painful calluses on the bottom of the toe
  • Pain on the bottom of the ball of the foot
  • Redness and swelling at the joints


Hammertoes are generally caused by an abnormal interworking of the bones, muscles, ligaments and tendons that comprise the feet. When muscles fail to work in a balanced manner, the toe joints can bend to form the hammertoe shape. If they remain in this position for an extended period, the muscles and tendons supporting them tighten and remain in that position.

Hammertoes may be aggravated by shoes that don’t fit properly. A hammertoe may result if a toe is too long and is forced into a cramped position when a tight shoe is worn. A higher heel forces the foot down and compresses the toes against the shoe, increasing the pressure and the bend in the toe. Eventually, the toe muscles become unable to straighten the toe, even when there is no confining shoe. Most likely due to these factors, hammertoe occurs much more frequently in women than in men.

Other causes or factors in the development of hammertoes can include an earlier trauma to the toe, arthritis and nerve and muscle damage from diseases such as diabetes. And, hammertoes tend to run in families, although it is more likely the faulty foot mechanics that lead to hammertoes that are inherited, not the hammertoes themselves.

Treatment options

Traditional Method

When conservative methods are no longer effective, surgery may be required. Surgery is appropriate when the muscles and tendons involved in a hammertoe problem have become so tight that the joints are rigid, misaligned and unmovable. The goals of surgical treatment are to reduce pain and straighten the toe.

One of the more common surgical procedures to treat this condition is fusing the joint, in which the ends of the bone are cut and the toe is straightened. Pins, screws or other implants are used to keep the toe straight while the bone ends heal or fuse together. While multiple fixation methods have been used to achieve a stable correction, the most common method has traditionally been the use of a pin-like device known as a Kirschner wire, or “K-wire.” K-wires have been associated with complications including broken hardware, loosening, bending, migration and pin tract infection. Furthermore, patient dissatisfaction can be high as the K-wire protrudes from the tip of the toe during the four to six week healing process.

ProxiFuse Method

The ProxiFuse Hammertoe Compression System (ProxiFuse) is an innovative implant specifically developed for hammertoe fusion offering a number of patient benefits:

Permanent solution. ProxiFuse is implanted within the bone and remains there to help maintain the correction.

More comfortable. K-wires continue to protrude out of the toe, creating general difficulty with normal daily activities, such as working, driving, bathing and sleeping. The ProxiFuse implant eliminates the discomfort and inconvenience associated with a protruding K-wire.

Less complications. Complications from K-wires include wire breakage, loosening abd bending. Another disadvantage of the protruding wire is the risk of trauma. Once implanted, the ProxiFuse remains within the bone, correcting the pain and deformity of hammertoes while eliminating many of the complications associated with other treatments.

Continuous compression. Through its innovative suture locking system, the ProxiFuse is designed to maintain continuous bone to bone contact throughout the healing process, increasing the likelihood of fusion and correction of the deformity.

Discomfort and comlications from proturding

More comfortable, and fewer complications

Watch our ProxiFuse Video


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Alpharetta, GA 30005

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