Replacing the big toe joint

Hallux rigidus is generally caused by arthritis of the big toe joint and is usually characterised by pain. For the past few years, this condition has been treated with the newest remedy: joint replacement. This operation not only relieves pain but also ensures that mobility and full range of motion are achieved and maintained.

Many people are affected by hallux rigidus. Symptoms include pain when walking and stretching the foot. A prosthetic joint often needs to be inserted in order to avoid stiffening of the joint.

Professor Lill will help you with his experience to unterstand all about a metatarsophalangeal joint endoprosthesis and decides with you how far it is necessary!


Why does need to be used?

A mild case of hallux rigidus can often be treated by a joint-preserving cheilectomy. This method of treatment circumvents the need for a prosthetic joint and helps to maintain healthy joint function. If major damage has occurred in the joint, surgery and the subsequent insertion of a prosthetic joint will be necessary. Up until a few years ago, the permanent immobilisation of the affected joint was common practice, but this led to a reduction in quality of life for patients. New models of endoprostheses guarantee full range of motion after surgery without the need for surgical cement. Every prosthetic joint is individually sized for optimal results.


How is an artificial joint inserted?

During surgery, the big toe joint is numbed using a local anaesthetic in order to minimally affect the patient’s circulation. An incision is then made right above the metatarsophalangeal joint and the bone material is removed as gently as possible. Using a protractor, your orthopaedic specialist will find the optimal position for your new joint. Now the endoprosthesis can be inserted. After the operation, it is important to keep the foot raised and to keep it relatively cool. Nevertheless, you should begin physiotherapy as soon as possible after the operation to ensure optimal mobility.


Are you experiencing symptoms of hallux rigidus and would like to learn more about metatarsophalangeal endoprostheses? Schedule your appointment with a Professor Lill today, your orthopaedic joint specialist in Munich. Our team will gladly consult with you about your case.