Big Toe Implants

Due to its size, location, and importance for balancing the other four toes, the first toe or “hallux” has a long track record of developing problems in and around its joints. These problems in turn can lead to other complications within the foot. Over the years, many treatment approaches have been developed to address bunions, stiffness, and other joint problems of the first toe. One effective albeit controversial option has been the use of implants.
A key target area for treatment is often within the ball of the foot, because the joint in that area is often a source for complications. One frequently-used procedure remodels, reshapes, and realigns the joint-often with good results. However, this approach has its own drawbacks, including bone removal and a shortening of the toe. As an alternative, the use of implants was developed in the 1980s for special cases, such as when the traditional procedure failed.
Implants come in several different materials-each with their own benefits and disadvantages. Initially, silicone was used, but it was eventually shown to break down over time. Cobalt chromium is strong and resistant to corrosion, but it contains nickel which can be a problem for some people with allergies. Titanium is also used as it is light weight and integrates well into bone, although it is not as strong.
Of course, implants can be modified in numerous ways to meet the needs of the individual. They’re available in multiple shapes and sizes and can be adjusted to modify the joint space and increase flexibility. The smallest implant possible is typically used and specially fitted to minimize friction. Implants can even be used in conjunction with other interventions or procedures to achieve the best possible outcome.
One of the advantages of implants is that they allow for an early recovery which takes about two weeks to allow the skin to heal. This is much shorter than for an alternative fusion approach which can require over eight weeks of off-loading the foot. Of course, implants have their own drawbacks and potential to cause problems. However, in a group of patients who received implants in the 1980s, it was shown later that about 80% of them felt that the implants had reduced their pain.
Today, implants are more often recommended to older individuals with bunions, arthritis, and other complications, as they tend to last longer than in younger, more active people with those same conditions. If you have questions, schedule an appointment with your podiatrist. He or she can help you determine whether an implant is right for you.

Advanced Foot Care
Dr. Robert Kuvent
3225 S. Alma School Rd.
Chandler, AZ 85248
(480)917-2300
http://www.yourfeetfixer.com