End-stage arthritis of the big toe joint (hallux rigidus) is commonly treated by fusing the first metatarsophalangeal (MTP) joint. In selected patients the joint is replaced instead, with the aim of preserving movement.
- Joint replacement: the RTS 1st MTP implant, with broachless implantation, an angled metatarsal stem and single-use instruments.
- Fusion: the IO FiX 2.0 zero-profile fusion device, Omni MTP plates, CoLink XP MTP plates with a transverse compression screw, IBS-B MIS bevelled screws, and NeoSpan SE compression staples.
- Joint preparation: The Cartilaginator, for preparing the joint surfaces before fusion.
Also known as: Hallux rigidus surgery, First metatarsophalangeal joint fusion, Big toe fusion, MTP arthrodesis, First MTP arthroplasty, Big toe joint replacement
Products for 1st MTP fusion and replacement

The Cartilaginator™
Powered saw-rasp instrument for preparing joint surfaces before foot and ankle arthrodesis, in seven flat and curved styles, supplied sterile.
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CoLink® XP Plates
Low-profile titanium plates with a transverse lag screw for compression across first MTP, Lapidus and midfoot fusions.
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IBS-B™ MIS Beveled Screw System
Cannulated, self-drilling titanium screws with a 45° bevelled head, in 3.3, 4.0 and 6.5 mm, for minimally invasive foot surgery.
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IO FiX 2.0 – Intraosseous Fixation System
Zero-profile, two-part intraosseous fixation: a lag screw that locks into an X-Post bone bridge, for foot and ankle arthrodesis and osteotomy.
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NeoSpan® SE Compression Staples for Foot
Superelastic compression staple with a stepped-tooth design for fractures, fusions and osteotomies of the forefoot, midfoot and rearfoot.
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Omni Universal – Foot Plating
Universal foot plating system with 32 plate styles and 2.8 or 3.5 mm screws for MTP, Lapidus, Lisfranc and talonavicular arthrodesis.
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RTS® 1st MTP Joint Replacement
Silicone elastomer implant with titanium grommets for first metatarsophalangeal joint replacement, with single-use instruments.
View productSurgical techniques & brochures
- Brochure · The Cartilaginator™Cartilaginator Brochure
- Surgical technique · The Cartilaginator™Cartilaginator Surgical Technique
- Surgical technique · CoLink® XP PlatesCoLink XP Plates Surgical Technique
- Brochure · CoLink® XP PlatesCoLink Plating System Brochure
- Surgical technique · CoLink® XP PlatesCoLink XP Lapidus Plate Surgical Technique
- Brochure · CoLink® XP PlatesCoLink XP Tarsalis Plates Sell Sheet
- Surgical technique · CoLink® XP PlatesCoLink T8 Screw Extractor Surgical Technique
- Surgical technique · IBS-B™ MIS Beveled Screw SystemIBS-B MIS Surgical Technique
- Surgical technique · IO FiX 2.0 – Intraosseous Fixation SystemIO FiX 2.0 Surgical Technique
- Brochure · IO FiX 2.0 – Intraosseous Fixation SystemIO FiX 2.0 Product Brochure
- Brochure · IO FiX 2.0 – Intraosseous Fixation SystemIO Platform Brochure
- Brochure · NeoSpan® SE Compression Staples for FootNeoSpan SE Brochure
- Surgical technique · NeoSpan® SE Compression Staples for FootNeoSpan SE Surgical Technique
- Brochure · Omni Universal – Foot PlatingOmni Universal Brochure
- Surgical technique · Omni Universal – Foot PlatingOmni Universal Surgical Technique
- Surgical technique · RTS® 1st MTP Joint ReplacementRTS 1st MTP Surgical Technique
Questions
Which products does Lavender Medical supply for 1st MTP fusion and replacement?
The Cartilaginator™, CoLink® XP Plates, IBS-B™ MIS Beveled Screw System, IO FiX 2.0 – Intraosseous Fixation System, NeoSpan® SE Compression Staples for Foot, Omni Universal – Foot Plating and RTS® 1st MTP Joint Replacement. Each has its own page with the surgical technique and brochure where available. Call us or use the enquiry button for product information, a demonstration or a kit for a case.
