Injured metatarsophalangeal chartilage of the big toe
I am a 41 year old man and 15 months ago I injured my big toe with
an axial hit.
I have been diagnosed (after three X-ray, two MRI scans, and one
technnetium scan) a chondral lesion at the metatarsal / phalanx joint.
This has been treated with ultrasound, condroitin sulphate pills
for three months, anti-inflammatory drugs on and off, and an insole.
The pain when I walk is still there and at times intense.
I have two questions:
1. Several physicians have propose hyaluronic acid or cortisone injections.
Which is recommended?
2. One physician offered to perform a chondral transplant, consisting in
taking fresh chartilage from my knee and implanting it in the toe, with
arthroscopic surgery. Would you recommend it? What is the likelihood
of success and the possible complications?