Cartiva implant(Wright Medical) for 1st MTP joint arthritis


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Learn the Cartiva implant(Wright Medical) for 1st MTP joint arthritis surgical technique with step by step instructions on OrthOracle. Our e-learning platform contains high resolution images and a certified CME of the Cartiva implant(Wright Medical) for 1st MTP joint arthritis surgical procedure.

The Cartiva implant is a hydrogel polymer implant designed for use in 1st metatarsophalangeal arthritis (hallux rigidus). The material has a similar coefficient of friction and hydration characteristics to hyaline cartilage and is intact the same material widely used in contact lenses.

The procedure is simple to undertake and has an excellent scientific and level 1 clinical evidence background. Cartiva has been extensively studied in a prospective randomised controlled trial against 1st MTPJ fusion as part of the 12 centre MOTION study group. This study has demonstrated that it is at least as good as a fusion at 2 and at 5 years in terms of pain relief and improvement in function both in activities of daily life and in sport.

A comprehensive literature review which includes award winning peer reviewed papers and presentations at mutilple international meetings is included in this operation (See references). The Cartiva MOTION study is the largest and most comprehensive PRCT in forefoot surgery that has been undertaken yet.


Author: Mr Chris Blundell FRCS (Tr & Orth).

Institution: The Northern General Hospital, Sheffield, UK.

  • Each operation and the questions associated become a named course in the CPD section
  • The operative technique itself is read as a lesson as is any company implant information if this is being assessed.
  • You’ll need to tick the box to confirm this has been done and can do this immediately if you have already read the op tech.
  • The vast majority of operations have a 10-15 MCQ quiz covering all aspects of the decision making and the technique
  • There are four possible answers of which one is correct (or on occasion more correct) than the others.
  • There are additional quiz modules on the surgical steps, the implants and problem cases being added continually
  • The course is completed once all the lessons are read and quizzes submitted and passed.
  • On successful completion of each quiz you will receive validated CPD points that add to the certificate in your CPD folder.
  • Your dashboard also will contain a record of the time you have spent logged onto and using the site.
  • The timer suspends after 5 minutes though if there is no activity.
  • When you restart you will resume at the same point in the module.
  • Once you have completed each quiz you will need to feedback on the module first then click “submit” and your paper will be marked.
    The pass mark is 75%.
  • If you fall below this level you will be directed back to re-read the slides where you’ve tripped up.
  • Once these have been read you can re-do just the questions you failed on.
  • Once you have passed the quiz you can return at a future stage & resit .

CPD Points:

  • Operation Quiz – 1 CPD point
  • Surgical steps Quiz – 1/4 CPD point
  • Implants Quiz – 1/4 CPD point
  • Problem case Quiz – 1/2 CPD point

One CPD point equates to one hour of academic activity


Welcome to the Professional Development question section. The objective of taking these tests is to demonstrate that you have understood all aspects of the assessment and management of patients requiring surgical intevention. On successful completion you will receive a certificate accredited by both the Royal College of Surgeons of both England and Edinburgh as well as the British Orthopaedic Association.

Our content is designed for both Surgeons in independent practice and Surgeons in training.


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