A Technique for Isolated Arthrodesis of the Second Metatarsocuneiform Joint

Smith, Simon E.; Camasta, Craig A.; Cass, Andrea D.

doi:10.1053/j.jfas.2009.06.008

Cited by 9 publications

(3 citation statements)

References 7 publications

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“…There was no correlation between the number of joints and the functional outcome in the patients with TMT joints arthrodesis. 33 Pain will never be developed to the lateral TMT joints after isolated medial three TMT joints arthrodesis, and if no structural deformity or severe pain of the lateral TMT is present, the arthrodesis of the lateral TMT joints will not improve the overall curative effect either. However, as an independent unit of the foot, the fourth and fifth TMT joints can never be fused independently.…”

Section: Overviewmentioning

confidence: 99%

The injuries to the fourth and fifth tarsometatarsal joints: A review of the surgical management by internal fixation, arthrodesis and arthroplasty

Pang

2013

Pak J Med Sci

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The surgical management to the injuries of the fourth and fifth tarsometatarsal (TMT) joints is controversial. We briefly review the anatomical characteristics to the injuries, the diagnosis, as well as the individualized treatment of the injuries of the fourth and fifth TMT joints by open reduction and internal fixation, TMT arthrodesis and arthroplasty. We conclude that open reduction and internal fixation is the recommended option for acute injuries, while arthrodesis can be used in cases of malunion of the fourth and fifth TMT joints with gross pain or arthritic changes and obvious structural deformity. Arthroplasty is an effective salvage operation mainly used in high-demand patients with severe TMT arthritis. Finally, we propose a recommended treatment algorithm (based on the literature and our experience), taking into account the specific indications for internal fixation, TMT arthrodesis and arthroplasty to optimize the individualized treatment. Data sources/Study selection Data from survey reports, descriptive, cross-sectional and longitudinal studies published from 2002 to 2012 on the topic of the injuries to the fourth and fifth tarsometatarsal joint on human and radiography studies were included. Data Extraction The data was extracted from online resources of American Orthopaedic Foot & Ankle Society, American Academy of Orthopaedic Surgeons, US National Library of Medicine, The MEDLINE. Conclusion It is important to comprehend the specific anatomical characteristics and grasp the strict indications, advantages and disadvantages of the ORIF, TMT arthrodesis and arthroplasty to optimize the individualized treatment of the fourth and fifth TMT joints injuries in a maximum extent.

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Section: Overviewmentioning

confidence: 99%

The injuries to the fourth and fifth tarsometatarsal joints: A review of the surgical management by internal fixation, arthrodesis and arthroplasty

Pang

2013

Pak J Med Sci

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“…[ 23 24 ] Previous studies demonstrated the effectiveness of partial arthrodesis as a salvage operation, allowing preservation of most functions of the affected foot. [ 25 26 ] However, primary arthrodesis is recommended only for cases with severe damage, in which the joint cannot be anatomically reconstructed or the patient has severe pain due to traumatic arthritis. [ 27 ] Some studies have also reported that joint arthrodesis surgery can be used as not only a salvage operation, with Lisfranc fusion able to reduce pain and increase joint stability with an even better long-term therapeutic effect than ORIF.…”

Section: Discussionmentioning

confidence: 99%

Comparison of primary arthrodesis versus open reduction with internal fixation for Lisfranc injuries

Han

Zhang

Chen

et al. 2019

Journal of Postgraduate Medicine

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Objective: Multiple studies have compared primary arthrodesis versus open reduction with internal fixation (ORIF) for surgical treatment of fractures of the Lisfranc joint, but their results have been inconsistent. Therefore, the present systematic review and meta-analysis was performed to compare the clinical efficacy of arthrodesis versus ORIF for the treatment of Lisfranc injuries. Methods: Through searching the Embase, PubMed, PMC, CINAHL, PQDT, and Cochrane Library databases (from July 1998 to July 2018), we identified five case-controlled trials and two randomized controlled trials that compared the clinical efficacy of primary arthrodesis and ORIF for treating Lisfranc injuries. The extracted data were analyzed using Review manager 5.3 software. Results: Through comparisons of data for primary arthrodesis and ORIF groups, we found no significant differences in the anatomic reduction rate, revision surgery rate, and total rate of complications between the different treatment approaches. However, arthrodesis was associated with a significantly better American Orthopedic Foot and Ankle Society (AOFAS) score, return to duty rate, and visual analog scale score with a lower incidence of hardware removal compared with ORIF. Conclusions: For the treatment for Lisfranc injuries, primary arthrodesis was superior to ORIF based on a higher AOFAS score, better return to duty rate, lower postoperative pain, and lower requirement for internal fixation removal. Further evidence from future randomized controlled trials with higher quality and larger sample sizes is needed to confirm these findings.

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“…Fixation selection is surgeon dependent. There have been numerous fixation combinations described for TMT joint arthrodesis to include lag screws, static screws, neutralization plates, compression plates, as well as staples [28]. Even though the cancellous plug can be press fit into position the authors recommend low profile plates with or without locking options.…”

Section: Discussionmentioning

confidence: 99%

In Situ Tarsal Metatarsal Dowel Arthrodesis with Trephine Reamers and Cancellous Bone Plugs: A Technique Guide and Case Report

Downey¹,

Fleming²

2016

J Arthritis

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Tarsalmetatarsal (TMT) osteoarthritis is encountered frequently. Pathology at the TMT joints play a role in continued foot fatigue and further compensation of gait laterally to avoid discomfort over the medial and central columns of the midfoot. Sequeula and further pathology to the central TMT joints are multifactorial. Recalcitrant pain, subtle instability, and arthrosis are commonly observed. Patients who fail nonoperative treatment are subjective to reconstructive surgical treatment. We present a straightforward stepwise technique for an in situ arthrodesis of the central TMT joints. We focus on the principles of the dowel arthrodesis with trephine reamers, cancellous bone plugs, and compressive locking plate fixation for a reproducible corrective midfoot fusion.

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A Technique for Isolated Arthrodesis of the Second Metatarsocuneiform Joint

Cited by 9 publications

References 7 publications

The injuries to the fourth and fifth tarsometatarsal joints: A review of the surgical management by internal fixation, arthrodesis and arthroplasty

The injuries to the fourth and fifth tarsometatarsal joints: A review of the surgical management by internal fixation, arthrodesis and arthroplasty

Comparison of primary arthrodesis versus open reduction with internal fixation for Lisfranc injuries

In Situ Tarsal Metatarsal Dowel Arthrodesis with Trephine Reamers and Cancellous Bone Plugs: A Technique Guide and Case Report

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