| Eksisterende Tå Behandlingsmetoder
vs. HemiCAP™
Conservative Options
Rest, Ice, NSAIDS,
Shoe Modification
Initial treatment should include rest, ice, NSAID's, and shoe
modifications. A stiff- soled shoe to decrease dorsiflexion
combined with an enlarged toe box to accommodate swelling
may be adequate to relieve symptoms. A rocker-bottom shoe
can be prescribed, but this may adversely affect athletic
performance and thus be unacceptable.
Physical Therapy
Treatment by a certified therapist including possible use
of orthotics may be useful in alleviating pain and improving
function of the toe.
Steroid Injection
A corticosteroid injection can provide some relief. However,
injections should be used sparingly because they do cause
damage to the remaining cartilage surface.
Surgical Options
Cheilectomy
(kI-lek'-toe-me)
This surgery is usually recommended when damage is mild or
moderate. It involves removing the bone spurs (also known
as osteophytes) as well as a portion of the foot bone, so
the toe has more room to bend. The incision is made on the
top of the foot. The toe and the operative site may remain
swollen for several months after the operation, and you will
have to wear a wooden-soled sandal for at least two weeks
after the surgery. But most patients do experience long-term
pain relief.
Arthrodesis (are-throw-dee'-sis)
or Fusion
Fusing the bones together (arthrodesis) is often recommended
when the damage to the cartilage is severe. 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.
This type of surgery means that you will not be able to bend
the toe at all.
For the first six weeks after surgery, you will have to wear
a cast and then use crutches for about another six weeks.
You typically won't be able to wear high heels, and you may
need to wear a shoe with a rocker-type sole.
Arthroplasty (are-throw-plas'-tee)
Older patients who place few functional demands on the feet
may be candidates for joint replacement surgery. The joint
surfaces are removed and an artificial joint is implanted.
This procedure may relieve pain and preserve joint motion.
Keller Procedure (kel-her)
This procedure combines soft tissue releases with resection
of the end of the proximal phalanx (toe bone) and is usually
done for less active older individuals, due to the loss of
ability to push-off during walking.
Arthrosurface believes that the HemiCAP™ implant will
offer the following clinical benefits:
-
Relief from current pain and swelling
-
Return to normal activity with rapid recovery time
-
Restoration of a smooth, continuous, articulating load-bearing
surface.
-
A simple and reproducible outpatient/ambulatory surgical
procedure
For more information on the Arthrosurface
HemiCAP concept such as brochures, articles, video etc., please
contact Ortotech
directly.
 
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