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tarsometatarsal arthrodesis

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https://www.readbyqxmd.com/read/28382375/-proximal-corrective-osteotomy-correction-of-hallux-valgus-deformity
#1
M Thomas, M Jordan
Severe symptomatic hallux valgus deformities are usually not treatable with conservative methods in the long-term. Surgical treatment currently aims for mechanical restitution of the first ray with preserved mobility of the first metatarsophalangeal (MTP 1) joint and with low risk of recurrence after surgery. Keeping these aims in mind the surgical methods consist of osteotomy at the proximal part of the first metatarsal bone with a high potential for correction of the deformity. Surgical interventions at the midshaft level of the first metatarsal are only useful if the anatomical shape of the metatarsal shows a wide shaft, which allows a large shift in the osteotomy...
April 5, 2017: Der Orthopäde
https://www.readbyqxmd.com/read/28373932/endoscopic-resection-of-dorsal-boss-of-the-second-and-third-tarsometatarsal-joints
#2
Tun Hing Lui
Dorsal boss of the foot also known as "tarsal boss," "dorsal exostosis," and "humped bone" is a bone spur that grows from one of the intertarsal or tarsometatarsal joints. It can occur with or without arthritis of the underlying joints. Surgery is indicated if the symptoms do not respond to conservative treatment. Excision of the dorsal boss with or without fusion of the underlying joint is the operative treatment of choice. We report an arthroscopic approach of resection of the dorsal exostosis. Arthroscopic arthrodesis if indicated can be performed through the same portals...
February 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/28333559/technique-tip
#3
Gregory R Waryasz, Stephen Marcaccio, Joseph A Gil
Lisfranc injury fixation or arthrodesis typically involves the reduction and fixation of several tarsometatarsal joints with either screws or a plate and screw constructs. A successful fixation or arthrodesis of the Lisfranc joint requires proper screw placement from the medial cuneiform to the base of the second metatarsal. This is typically done free-hand; however, we describe use of an anterior cruciate ligament guide to help maintain reduction and assist with drill trajectory for more accurate screw or suture button construct placement...
April 2017: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/28276650/comparison-of-arthrodesis-and-non-fusion-to-treat-lisfranc-injuries
#4
Yu-Sen Qiao, Jun-Kun Li, Hao Shen, Hai-Yan Bao, Ming Jiang, Yan Liu, Wasim Kapadia, Hong-Tao Zhang, Hui-Lin Yang
OBJECTIVE: "Lisfranc joint injury" is comprised of a tarsometatarsal joint-complex injury. The Lisfranc complex injury is always a challenge for orthopedists, and the optimum treatment is still up for debate. Anatomic reduction and stable internal fixation prove to have no satisfactory outcomes. This research aims to compare the clinical curative effects, complications and radiographic features of arthrodesis and non-fusion of the Lisfranc joint in the follow-up of the patients who suffered Lisfranc injuries...
February 2017: Orthopaedic Surgery
https://www.readbyqxmd.com/read/28167055/open-reduction-and-internal-fixation-versus-primary-arthrodesis-for-lisfranc-injuries
#5
REVIEW
Brian M Weatherford, Donald R Bohay, John G Anderson
Management of injuries to the tarsometatarsal (Lisfranc) joint complex continues to generate heated debate. Arthrodesis of the Lisfranc joint complex has historically been reserved as a salvage procedure for failed treatment. Recently, primary arthrodesis has emerged as a viable treatment alternative to open reduction and internal fixation for these injuries. The objective of this article was to examine the current literature regarding open reduction and internal fixation versus primary arthrodesis of Lisfranc injuries...
March 2017: Foot and Ankle Clinics
https://www.readbyqxmd.com/read/28090416/post-traumatic-arthritis-of-the-tarsometatarsal-joint-complex-a-case-report
#6
Chirag Kapoor, Amit Patel, Maulik Jhaveri, Paresh Golwala
Tarsometatarsal (TMT) arthritis is characterized by instability and pain in the foot. The commonest cause is post-traumatic arthritis. A Lisfranc injury involves the articulation between the medial cuneiform and the base of the second metatarsal, which is considered a keystone to midfoot integrity. Neglected or undertreated injury to the Lisfranc joint complex leads to secondary arthritis and significant disability. We present a case of a young male patient with a two-year-old neglected Lisfranc joint injury and secondary osteoarthritis of the first, second, and fourth TMT joints, which we treated surgically with arthrodesis using screws, with a good functional outcome on final follow-up...
December 9, 2016: Curēus
https://www.readbyqxmd.com/read/27709024/revision-lapidus-arthrodesis-by-bone-endoscopy
#7
Tun Hing Lui
Revision arthrodesis is indicated in symptomatic nonunion of the first tarsometatarsal joint. Revision by first tarsometatarsal arthroscopy cannot deal with the dilated screw tract and associated bone cysts. Revision by bone endoscopy is indicated in symptomatic nonunion of the first tarsometatarsal joint, which is previously fixed by transarticular screw along with loosening of the screw and bone cyst formation. The screw tract makes up the portal tract, with the proximal and distal ends of the tract corresponding to the proximal and distal portals, respectively...
August 2016: Arthroscopy Techniques
https://www.readbyqxmd.com/read/27605689/trends-in-complication-rates-following-ankle-arthrodesis-and-total-ankle-replacement
#8
Alexandra I Stavrakis, Nelson F SooHoo
BACKGROUND: This study provides an updated comparison of the reoperation rates following primary ankle arthrodesis and total ankle replacement on the basis of observational, population-based data from California. We previously reported data from 1995 to 2004, and our current study includes new data from 2005 to 2010. Our hypothesis was that total ankle replacement would demonstrate increasing utilization and lower complication rates given advances in implant design and growth in surgeon experience...
September 7, 2016: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/27344055/delayed-open-reduction-internal-fixation-of-missed-low-energy-lisfranc-injuries
#9
Spenser J Cassinelli, Lewis K Moss, David C Lee, Jayme Phillips, Thomas G Harris
BACKGROUND: The aim of this study was to determine the outcome of delayed presentation (at least 6 weeks from the time of injury) of low-energy Lisfranc injuries limited to the first and second tarsometatarsal joints treated with open reduction internal fixation. METHODS: 8 patients with an average age at surgery of 39.8 years were retrospectively reviewed with a mean time to surgery from injury of 15.1 (range of 6.3 to 31.1) weeks. We used radiographic measurements, physical examination, SF-12 scores, Foot and Ankle Ability Measure (FAAM) scores, VAS scores and return to work or sports as outcome measures...
October 2016: Foot & Ankle International
https://www.readbyqxmd.com/read/27289220/evaluation-of-hallux-valgus-correction-with-versus-without-akin-proximal-phalanx-osteotomy
#10
Naohiro Shibuya, Jakob C Thorud, Lanster R Martin, Britton S Plemmons, Daniel C Jupiter
Although the efficacy of Akin proximal phalanx closing wedge osteotomy as a sole procedure for correction of hallux valgus deformity is questionable, when used in combination with other osseous corrective procedures, the procedure has been believed to be efficacious. However, a limited number of comparative studies have confirmed the value of this additional procedure. We identified patients who had undergone osseous hallux valgus correction with first metatarsal osteotomy or first tarsometatarsal joint arthrodesis with (n = 73) and without (n = 81) Akin osteotomy and evaluated their radiographic measurements at 3 points (preoperatively, within 3 months after surgery, and ≥6 months after surgery)...
September 2016: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/27147683/clinical-outcomes-and-development-of-symptomatic-osteoarthritis-2-to-24-years-after-surgical-treatment-of-tarsometatarsal-joint-complex-injuries
#11
Victor Dubois-Ferrière, Anne Lübbeke, Ashwin Chowdhary, Richard Stern, Dennis Dominguez, Mathieu Assal
BACKGROUND: Injuries to the tarsometatarsal (TMT) joint complex, or Lisfranc injuries, have been reported to result in osteoarthritis (OA) following surgical treatment. Good outcomes with respect to short and medium-term results have been reported. However, long-term results, specifically regarding clinical outcomes and the development of symptomatic OA, are limited. The objectives of this study were to assess clinical outcomes, the occurrence of symptomatic OA, and risk factors for OA at 2 to 24 years after a Lisfranc injury treated surgically with open reduction and internal fixation (ORIF) or with primary arthrodesis...
May 4, 2016: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/27070226/arthrodesis-of-the-equine-centrodistal-and-tarsometatarsal-joints-using-a-single-modified-kerf-cut-cylinder
#12
Adam H Biedrzycki, Barrie D Grant, Brett Nemke, Mark D Markel, Samantha L Morello
OBJECTIVES: To describe a technique for surgical placement of a modified kerf-cut cylinder for the purpose of arthrodesis across the equine centrodistal and tarsometatarsal joints. METHODS: Each horse (n = 4) underwent unilateral placement of a single kerf-cut cylinder spanning the centrodistal and tarsometatarsal joints with the placement of an autologous cancellous bone graft. Horses were evaluated via lameness examination and radiography postoperatively and euthanatization of each horse was performed at four different time points up to 12 weeks post-surgery to evaluate for lameness, implant stability and success with integration in the surrounding bone...
May 18, 2016: Veterinary and Comparative Orthopaedics and Traumatology: V.C.O.T
https://www.readbyqxmd.com/read/27015031/the-influence-of-the-peroneus-longus-muscle-on-the-foot-under-axial-loading-a-ct-evaluated-dynamic-cadaveric-model-study
#13
K Dullaert, J Hagen, K Klos, B Gueorguiev, M Lenz, R G Richards, P Simons
BACKGROUND: Subtle hypermobility of the first tarsometatarsal joint can occur concomitantly with other pathologies and may be difficult to diagnose. Peroneus Longus muscle might influence stability of this joint. Collapse of the medial longitudinal arch is common in flatfoot deformity and the muscle might also play a role in correcting Meary's angle. METHODS: A radiolucent frame was used to simulate weightbearing during CT examination. Eight pairs fresh-frozen lower legs were imaged in neutral position under non-weightbearing (75N), weightbearing (700N) and with 15kg weights hung from Peroneus Longus tendon...
2016: Clinical Biomechanics
https://www.readbyqxmd.com/read/26697432/evaluation-of-nitinol-staples-for-the-lapidus-arthrodesis-in-a-reproducible-biomechanical-model
#14
Nicholas A Russell, Gianmarco Regazzola, Amiethab Aiyer, Tomohiro Nomura, Matthew H Pelletier, Mark Myerson, William R Walsh
While the Lapidus procedure is a widely accepted technique for treatment of hallux valgus, the optimal fixation method to maintain joint stability remains controversial. The purpose of this study is to evaluate the biomechanical properties of new shape memory alloy (SMA) staples arranged in different configurations in a repeatable first tarsometatarsal arthrodesis model. Ten sawbones models of the whole foot (n = 5 per group) were reconstructed using a single dorsal staple or two staples in a delta configuration...
2015: Frontiers in Surgery
https://www.readbyqxmd.com/read/26655080/the-impact-of-nitinol-staples-on-the-compressive-forces-contact-area-and-mechanical-properties-in-comparison-to-a-claw-plate-and-crossed-screws-for-the-first-tarsometatarsal-arthrodesis
#15
Amiethab Aiyer, Nicholas A Russell, Matthew H Pelletier, Mark Myerson, William R Walsh
UNLABELLED: Background The optimal fixation method for the first tarsometatarsal arthrodesis remains controversial. This study aimed to develop a reproducible first tarsometatarsal testing model to evaluate the biomechanical performance of different reconstruction techniques. Methods Crossed screws or a claw plate were compared with a single or double shape memory alloy staple configuration in 20 Sawbones models. Constructs were mechanically tested in 4-point bending to 1, 2, and 3 mm of plantar displacement...
June 2016: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/26635414/placement-of-plantar-plates-for-lapidus-arthrodesis-anatomical-considerations
#16
Christian Plaass, Leif Claassen, Kiriakos Daniilidis, Mariesol Fumy, Christina Stukenborg-Colsman, Andreas Schmiedl, Sarah Ettinger
BACKGROUND: The modified Lapidus procedure is an accepted treatment option for patients with moderate to severe hallux valgus. Placing a plate plantar on the tension side of the arthrodesis has been shown to be biomechanically superior and has provided good clinical results. There is some concern about interference of the plantar placed plates on the tendon insertions. The purpose of this study was to determine a "safe zone" for plantar plate placement without irritation of the tendons...
April 2016: Foot & Ankle International
https://www.readbyqxmd.com/read/26567168/radiographic-recurrence-of-deformity-after-hallux-valgus-surgery-in-patients-with-metatarsus-adductus
#17
Amiethab Aiyer, Jeffery Shub, Raheel Shariff, Li Ying, Mark Myerson
BACKGROUND: Metatarsus adductus (MA) is a congenital condition that may lead to the development of hallux valgus (HV). The associated anatomic deformities may lead to recurrence of the HV in patients with MA. The goals of the study were to identify radiographic rates of recurrence of HV following surgery for HV in patients with MA. METHODS: Between 2002 and 2013, 587 patients who underwent HV surgery were retrospectively identified. The radiographic parameters recorded included the hallux valgus angle (HVA), the intermetatarsal angle (IMA), and the metatarsus adductus angle (MAA) obtained from initial radiographs and at final follow-up...
February 2016: Foot & Ankle International
https://www.readbyqxmd.com/read/26235860/immediate-fullweightbearing-after-tarsometatarsal-arthrodesis-for-hallux-valgus-correction-does-it-increase-the-complication-rate
#18
N Gutteck, D Wohlrab, A Zeh, F Radetzki, K-S Delank, S Lebek
BACKGROUND: The arthrodesis of the first tarsometatarsal joint has a high correction potential in the treatment of hallux valgus deformity. Compared to distal correction procedures, a pseudarthrosis rate of 12-20% is quoted, however. In a prospective study the results of two different treatment procedures after correction arthrodesis were compared. METHODS: In 17 cases the patients were mobilised with a short arthrodeses shoe with floor contact (NWB group) and in 17 cases in a short arthrodeses shoe with immediate fullweightbearing (FWB group)...
September 2015: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/26215552/symptomatic-hardware-removal-after-first-tarsometatarsal-arthrodesis
#19
Kyle S Peterson, Jeffrey E McAlister, Christopher F Hyer, John Thompson
Severe hallux valgus deformity with proximal instability creates pain and deformity in the forefoot. First tarsometatarsal joint arthrodesis is performed to reduce the intermetatarsal angle and stabilize the joint. Dorsomedial locking plate fixation with adjunctive lag screw fixation is used because of its superior construct strength and healing rate. Despite this, questions remain regarding whether this hardware is more prominent and more likely to need removal. The purpose of the present study was to determine the incidence of symptomatic hardware at the first tarsometatarsal joint and to determine the incidence of hardware removal resulting from prominence and/or discomfort...
January 2016: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/26117572/metatarsus-primus-varus-correction
#20
REVIEW
Matthew D Sorensen, Brian Gradisek, James M Cottom
We present a discussion on the use of proximal first-ray osteotomies in the surgical treatment for hallux valgus as a valid option compared with first-tarsometatarsal arthrodesis. Recent and historical literature tells us that stability of the first ray is a function of the alignment and reestablishment of retrograde stabilizing forces at the first tarsometatarsal joint. This realignment and stabilization may be accomplished with the use of distal soft tissue and proximal osteotomy procedures.
July 2015: Clinics in Podiatric Medicine and Surgery
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