NICE has been notified about this procedure and it is part of its work programme. The Interventional Procedures Advisory Committee (IPAC) will consider this procedure and NICE will issue an interventional procedures consultation document about its safety and efficacy for 4 weeks’ public consultation. IPAC will then review the consultation document in the light of comments received and produce a final interventional procedures document, which will be considered by NICE before guidance is issued to the NHS in England, Wales, Scotland and Northern Ireland.
Status In progress
Process IP
ID number 742
Description Synthetic cartilage implant insertion for first metatarsophalangeal joint osteoarthritis (hallux rigidus) is usually done under general or regional anaesthesia. A moulded cylindrical implant comprised of a hydrogel polymer made of polyvinyl alcohol and saline, is used with specifically designed single-use instrumentation. A small incision is made over the top of the big toe joint and a drill is used to remove enough bone to make an appropriately sized hole for the implant. The implant is then placed into the hole in the bone and left slightly proud, providing a smooth, slippery, surface in the area of the cartilage defect. Once the implant is in place, the incision is closed with sutures. Weight bearing can typically resume immediately after the procedure. The aim is to reduce pain and improve the toe’s range of motion.

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Key events during the development of the guidance:

Date Update
02 December 2021 - 13 January 2022 Interventional procedure consultation

For further information on how we develop guidance, please see our page about NICE interventional procedures guidance