Fusions & Bunions

CheckMATE® Fusion Plate

A fusion is a procedure where the phalangeal and metatarsal bones are cut and shaped to fit (fuse) together to relieve toe joint pain. The two bones are then aligned, set at a predetermined angle and permanently fixed with either screws and/or a plate so the two bones “fuse” together permanently. A metal plate that is placed on the bones holds them together to achieve fusion of the joint. Once fusion is achieved, the toe can no longer bend, changing the way you walk. Although it provides excellent pain control, a fusion is considered a last resort toe joint surgery because it eliminates toe (MTP) movement, making it especially difficult or impossible for women who want to wear high heels. It may also limit activities such as running, golf, tennis, and jobs or activities where kneeling or reaching up are required. Over time, it may increase the stresses on the other toes, causing deterioration, damage, and/or toe pain. It is considered an appropriate treatment for the older, sedentary and less active patient. Unlike a fusion procedure, the Arthrosurface Toe HemiCAP® and ToeMotion™ system can relieve the pain in your joint and still maintain your natural range of motion. There is also minimal bone removed with the Toe HemiCAP® implant, while fusion plates surgically remove the entire bone surface on both sides of the joint. This means there is far less of the natural bone to work with if future toe joint surgery is required. The Arthrosurface® systems leave more bone intact, therefore providing more options should future surgery be required.

If your doctor told you that you might need a fusion, it’s good to know the facts. A fusion is not always the right choice and should be considered as a last resort. A second opinion is recommended and more often than not, necessary.  The Toe HemiCAP® can be a great interim solution for toe pain.