“All-Natural” Bunion & Hammertoe Surgery is Here


A better, all-natural bunion & hammertoe procedure

OSSIOfiber® is an innovative implant that uses the latest technology for hammertoes and bunions. Using organic materials that turn into your bone, this advancement in foot surgeries restores you to full strength—without the pain and aggravation of metal implants. Bunionfiber® turns a big leap to surgery into choosing a small step toward healing.

A breakthrough innovation that turns into your own bone

All-natural, integrative healing

Built from proven materials made of the same minerals found in bone, Bunionfiber® harnesses your body’s unique ability to heal.

Strong, secure solution

Bunionfiber® is engineered for strength, letting you get back on your feet and to the life you deserve.

OSSIOfiber® procedures: Before and after

bunion-before bunion-after

hammertoe-before hammertoe-after

Why OSSIOfiber®

Traditional metal implant materials have not significantly changed in over 100 years. These permanent implants can often lead to ongoing discomfort, painful swelling, and sensitivity to cold temperatures. In fact, in 25% of cases, these metal implants lead to additional procedures to remove them.1

The OSSIOfiber® difference

OSSIOfiber® allows your doctor to perform the surgical procedure that is best for you. The implant is the difference.

This means:

  • Strength during the healing phase
  • Avoids additional surgery for hardware removal
  • Full integration into your own bone

Avoid the complications of the old metal implants. Just your own fully functional self.

Leaves only bone behind

Built with 50% natural mineral fibers found in bone and 50% natural polymer, which have been successfully used in surgeries for over 30 years.

No metal

1 in 4 people have metal implants removed in a second operation. Metal implants can lead to further pain, weakening of surrounding bone, and allergic reactions.1-3

Permanent solution

Using the body’s unique ability to heal, OSSIOfiber® provides a permanent solution without permanent implants.

High satisfaction

In a recent clinical study, 100% of hammertoe patients treated with OSSIOfiber® were satisfied and would recommend it to others.4

Strong and durable

First-of-its-kind implant material is stronger than the outer surface of your bone and provides robust stability during the healing process.4

Predictable bone integration

Healing begins immediately after the procedure, with the implant fully integrated into the surrounding bone in 18-24 months.5

OSSIOfiber® vs. metal implants

Metal OSSIOfiber®
Non-permanent fixation
Avoids permanent hardware removal
Ability to incorporate into native bone
Early bone attachment and in-growth
Strong fixation for load-bearing implants
Strength during insertion
Stiffness matched for cortical bone
Artifact-free CT and X-ray imaging, MRI safe

Naturally transformative bone healing

Discover how a procedure with OSSIOfiber® is different from metal implants, as it integrates with your body and leaves nothing but a fully functional bone behind.

I developed pain in both feet after years of wearing pointy shoes and high heels. Initially, I wanted to avoid surgery for as long as I could. But when I found out about the OSSIOfiber option that includes a more natural approach without using foreign substances, like metal, I decided to move forward with surgery, and I’m happy I did.


I was in chronic pain for two years but was reluctant to have surgery because I didn’t want to take time off. I was on board when I learned OSSIOfiber® hones in on the body’s own ability to heal. I was on my feet quickly, and I’m thrilled with the outcome of my surgery.


I knew someone who had a screw come out and had to go back into surgery. OSSIOfiber naturally grows into the bone, so this will be a one-time surgery for me. After years of living in agony, I’m pain-free, and it’s had such a positive impact on my life.


About The Procedure

A OSSIO or hammertoe correction procedure with OSSIOfiber® implants gets you back to the life you deserve without many of the complications of metal implants. OSSIOfiber® maintains the proper alignment of your toe, gradually integrating with your own bone as the body heals.

Talking with your doctor

It is important when consulting with our doctor to not only understand the procedure they intend to perform, but also the implants they plan to use. OSSIOfiber® allows you and our doctor to select the procedure that best meets your needs while avoiding the complications and pain of metal implants that may lead to an additional procedure.

Make sure you are asking the right questions about the implants that will be in your body. Download our Patient Flyer to make sure you’ve got the information you need to have a helpful discussion with our doctor.

Preparing for the procedure

Many factors will be considered in the planning of your bunion and/or hammertoe correction procedure. Those include how severe your condition is, your age, general health and activity level, and other medical issues. Assessing these with our doctor can influence your procedure and recovery. Our doctor will likely want a full assessment before recommending the right path for you.

Ask our doctor about the risks of surgery and the tests required to be ready for your bunion/hammertoe correction procedure.

Getting the procedure

The procedure should only take a couple of hours and will most likely not require an overnight hospital stay. OSSIOfiber® implants will not affect the way your procedure is performed or the time in surgery. It allows our surgeon to perform the procedure that is right for you, harnessing your body’s natural healing power and achieving the results you expect.

Your recovery

OSSIOfiber® is the first implant of its kind that works with your body during the recovery period, providing strength when it’s most important and slowly integrating into your own bone as you heal.

OSSIOfiber® will not prolong your recovery or significantly change our surgeon’s post-surgery practices.

It is very important to follow your doctor’s instructions after your surgery and attend your follow-up visits.

What happens next?

As you heal, your bone will become more and more integrated with the OSSIOfiber® implant. After a period of about two years, the implant will be completely replaced by your own bone.5 You can get back to the life you deserve without the worries and complications of metal implants in your body because OSSIOfiber® provides an all-natural solution that leaves only your healthy bone behind.

Frequently asked questions about OSSIOfiber®

Considering surgery for your bunion or hammertoe and want to know more about what makes the procedure with OSSIOfiber® different? Take a look below to get answers to our most commonly asked questions so you’re ready to talk to our doctor.

  • What makes OSSIOfiber® an all-natural solution?

    OSSIOfiber® is built with 50% natural mineral fibers found in bone and 50% natural polymer, materials that have been successfully used in surgeries for over 30 years. The OSSIOfiber® implant will then be replaced by your own bone as you heal, leaving just your fully functional self behind.

  • Can other procedures be performed with OSSIOfiber®?

    Yes. OSSIOfiber® can be used in procedures for bone fractures, realignment, bone fusions and grafts when used with appropriate additional immobilization products, like casts and braces. These procedures can be conducted in both the foot/ankle and the hand/wrist.

    You should consult with your doctor on whether OSSIOfiber® is appropriate for your needs.

  • How long will it take for me to be healed and OSSIOfiber® to be fully integrated into your own bone?

    OSSIOfiber® implants provide strength during the healing phase of your procedure and fully integrate into your bone over an 18 to 24 month period. OSSIOfiber® is the only implant solution that is there when you need it and gone after you don’t.

  • Are OSSIOfiber® procedures covered by insurance?

    Yes, OSSIOfiber® procedures are covered by most commercial insurance plans, Medicare, and Medicaid just like metal implants.

  • Does OSSIOfiber® work differently than metal hardware?

    Yes. Metal implants are permanently inside your body and inside your bone, even after healing. The permanent nature of these metal implants can lead to allergic reactions, pain, and the weakening of the surrounding bone in your body. They can even lead to a second procedure years later to remove the implant.1-3

    OSSIOfiber® is an all-natural implant that is stronger than the outer surface of your bone and provides robust stability during the healing process. With OSSIOfiber® implants, healing begins immediately after the procedure, with the implant fully integrated into your surrounding bone in 18-24 months.5

  • Where is OSSIOfiber® available to use in a procedure?

    OSSIOfiber® is currently available in the United States, with plans to expand to other countries.

Only our physicians can tell you if OSSIOfiber® is right for you. As with any medical procedure, Individual postoperative results may vary. Recovery times and activity levels after surgery can vary based on the severity of the deformity, selected procedure, and other general health factors. Consult with our physician for information about the risks and benefits of surgery and/or if you are candidate for a surgical procedure.


  1. Kaiser, P.B., Watkins, I., Riedel, M. D., Cronin, P., Briceno, J., Kron, J. Y. (2019). Implant Removal Matrix for the Foot and Ankle Orthopaedic Surgeon. Foot & Ankle Specialist, 12(1), 79-97. https://doi.org/10.1177/1938640018791015.
  2. Pot, J., Wensen, R. V., Olsman, J. (2011) Hardware Related Pain and Hardware Removal after Open Reduction and Internal Fixation of Ankle Fractures. The Foot and Ankle Online Journal, 4(5).https://doi.org/10.3827/faoj.2011.0405.0001.
  3. Brown, O. L., Dirschl, D.R., Obremskey, W. T. (2001) Incidence of Hardware-Related Pain and Its Effect on Functional Outcomes After Open Reduction and Internal Fixation of Ankle Fractures. Journal of Orthopaedic Trauma, 15(4), 271-274. https://doi.org/10.1097/00005131-200105000-00006.
  4. Data on File at OSSIO.
  5. Pre-clinical animal studies (in-bone implantation of OSSIOfiber and PLDLA control in rabbit femurs).
  6. Data on File at OSSIO – Including Štalc J, Cicchinelli LD, Miller S, Richter M. Fiber-reinforced fixation implant for proximal interphalangeal joint arthrodesis shows implant bio-integration at 1-year follow-up. Foot Ankle Surg. 2021 Jul 3:S1268-7731(21)00134-X.

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