[cgarr]

Originally Posted by Tobra

Once the cartilage is gone, you are pretty much hosed, some decent implants available, but I don't have any experience using them for gout damage. Depending on how trashed the joint is and level of pain, fusion might be the way to go.

Thats what happened to me. Fused it and don't even think about it anymore, continue to operate as normal except no pain and it used to be bad!