Nationwide Case Review · 2026
Suffered a Complication From a Cartiva, Silicone, or Metallic Toe Implant?
Cornerstone Law Can Help.
A consolidated federal action is underway in the Northern District of Georgia, with motions to dismiss denied and discovery into failure-rate data and implant migration now ordered. State coordinated proceedings are active in Georgia, Texas, and California. Cornerstone Law is reviewing cases nationwide — with no upfront cost to you.
Toe implants, including Cartiva synthetic cartilage implants, silicone toe implants, and metallic joint-replacement devices, were marketed to patients with hallux rigidus and other degenerative toe conditions as long-lasting, low-risk solutions. Instead, thousands of patients have experienced implant loosening, fragmentation, bone loss, severe pain, and the need for complex revision surgery. Plaintiffs allege manufacturers underreported failure rates, concealed known migration and wear risks, and failed to warn the surgeons who relied on their representations.
N.D. Ga.
Lead consolidated federal action
MTD Denied
Defective design and failure-to-warn claims proceeding
Active
Discovery into failure rates and migration data ordered
3 States
Coordinated proceedings: GA, TX, CA
Key Federal Action and Discovery Orders
Where the Litigation Stands Now
The consolidated federal action in the Northern District of Georgia is now in active discovery following denial of the defendants' motions to dismiss. The court's discovery orders are targeting the internal data manufacturers had about failure rates and implant behavior that was never disclosed to surgeons or patients.
In re: Cartiva Toe Implant Products Liability Litigation
Case No. 1:25-cv-01422 — Northern District of Georgia
Several motions to dismiss targeting defective design and failure-to-warn claims have been denied. The court has ordered production of failure-rate data, discovery into implant migration and fragmentation, and issued expert-witness scheduling orders. State coordinated proceedings in Georgia, Texas, and California are also active.
Court-ordered discovery includes:
- Failure-rate data — internal records of the rate at which implants loosened, fragmented, or required revision across product lines and implant sizes
- Implant migration and fragmentation records — documentation of known patterns of device movement and material breakdown within the joint
- Expert-witness scheduling — orthopedic and biomechanical experts on implant failure mechanisms are being scheduled for the evidentiary record
Failure-rate data is the key evidence. If manufacturers possessed internal data showing implant loosening and migration rates higher than what was disclosed to surgeons, that evidence will be central to proving both defective design and failure-to-warn claims. This discovery is underway now.
Implants at Issue
Which Toe Implants Are Involved?
The litigation focuses on three categories of implants used to treat hallux rigidus and other degenerative toe conditions. Each involves different materials and failure mechanisms, but all share allegations of underreported failure rates and inadequate surgeon warnings.
Cartiva ImplantsSynthetic cartilage (polyvinyl alcohol)
Silicone Toe ImplantsFlexible silicone joint replacements
Metallic Joint ReplacementsFirst MTP joint arthroplasty devices
What Plaintiffs Allege
How Toe Implants Failed and What Manufacturers Concealed
Plaintiffs allege a pattern of device failures combined with manufacturer conduct that kept true failure rates hidden from the orthopedic surgeons who implanted these devices.
Implant Loosening
Devices loosened from the bone over time, causing painful movement within the joint, instability, and loss of the function the implant was meant to restore.
Fragmentation and Wear
Implant material fragmented or shed particulate debris into the surrounding tissue, causing chronic inflammation, bone erosion, and synovitis.
Migration
Devices migrated from their implanted position within the joint, disrupting biomechanics, causing adjacent bone damage, and complicating any subsequent revision surgery.
Bone Loss
Particulate debris and inflammatory response from failing implants led to osteolysis, progressive bone loss, that has left some patients without adequate bone stock for revision procedures.
Underreported Failure Rates
Plaintiffs allege manufacturers possessed internal data showing failure rates higher than publicly disclosed, and that this data wasn't shared with surgeons making implant selection decisions.
Failure to Warn of Migration and Wear
Surgeons weren't adequately warned about the risk of implant migration and material wear, leaving them unable to counsel patients on realistic long-term outcomes or monitor for early failure signs.
Eligibility
Are You a Victim? Who May Qualify?
You may qualify if you received a Cartiva, silicone, or metallic toe implant and subsequently experienced complications requiring additional treatment, hospitalization, or revision surgery.
Qualifying Complications
- Chronic pain at the implant site
- Implant loosening or instability
- Bone erosion or osteolysis
- Inflammation or synovitis from implant debris
- Implant migration within the joint
- Revision or removal surgery required
- Loss of mobility or permanent disability
General Eligibility Factors
- Received a Cartiva, silicone, or metallic toe joint implant
- Implant placed for hallux rigidus or another degenerative toe condition
- Experienced a qualifying complication after implantation
- Complication documented in medical or surgical records
- Required additional treatment or revision surgery
Legal Theories and Damages
Liability and What You Can Recover
Liability Legal Theories
- Defective design
- Manufacturing defect
- Failure to warn
- Negligent misrepresentation
- Fraudulent concealment of failure data
- Breach of warranty
Damages What You Can Recover
- Medical expenses including revision surgery
- Lost income and reduced earning capacity
- Compensation for permanent disability
- Pain and suffering
- Emotional distress
- Loss of mobility and quality of life
Common Questions
What Patients Ask Us Most
My surgeon said this was a normal complication — should I still look into this?
Surgeons aren't always aware a device had a higher internal failure rate than what was disclosed to them. It's worth having your records reviewed regardless of what you were told at the time.
What does it cost to work with Cornerstone Law?
We handle toe implant cases on contingency — no upfront fee, and we only get paid if we recover compensation for you.
How do I find out which implant I received?
Your operative report typically identifies the specific implant and manufacturer used. If you don't have a copy, your surgeon's office or hospital can usually provide one.
I already had revision surgery — can I still file?
Yes. Having a revision or removal surgery doesn't disqualify a claim, the complications and additional surgery are often central to the case.
Why Cornerstone Law: We track every development in the Northern District of Georgia consolidated action and state coordinated proceedings in Georgia, Texas, and California, so our clients are positioned as discovery produces the internal failure data at the heart of these cases.
Cornerstone Law Is Reviewing Toe Implant Cases Nationwide
We represent patients harmed by failed toe implants. Find out whether your implant and complications qualify for a claim.
Get a Free Case Review
No fee unless we recover compensation for you. Call 1-800-928-9445.
This page is for informational purposes only and does not constitute legal advice. Prior results do not guarantee a similar outcome in any future case. This is a paid legal advertisement from Cornerstone Law, LLP. Attorney Frank Zeccola, Esq., licensed to practice law in California, is responsible for this advertisement.