Midfoot Arthrodesis following Multi-Joint Stabilization with a Novel Hybrid Plating System

Abstract

The healing rate and time to arthrodesis compared favorably to similar published studies. Based on these results, hybrid plating was a reliable and consistent alternative for fixation in midfoot arthrodesis, especially in multi-joint disease.

RETRACTED: Comparison of Screws to Plate-and-Screw Constructs for Midfoot Arthrodesis

“…9 Radiographic bony healing was defined as visible bone bridging across the fused TMTJs in the AP, lateral, and/or oblique planes. 13 With CT scanning, a TMTJ arthrodesis was considered healed with greater than 50% of bone crossing the joint. 11 All patients were further invited for more recent followup just before the writing of this text to obtain updated postsurgical functional scores, pain levels, and radiographs.…”

“…14,16,32 Combined with more recent studies, nonunion rates of midfoot arthrodeses with plate-andscrews ranged from 0% to 13%. 8,13 Although this incidence of nonunion falls into the same range of values when using screws for arthrodesis, it is important to recognize that the above literature regarding plate-and-screws for midfoot fusion are retrospective and noncomparative.…”

Radiographic Results of Nitinol Compression Staples for Hindfoot and Midfoot Arthrodeses

“…These fusion rates are also similar to those reported in the literature, which range from 88% to 96%, depending on the techniques and joints studied. 5,9,11,16 Both constructs were safe and effective for use in hindfoot and midfoot arthrodesis procedures. Advantages of the new generation of nitinol staples are dynamic continuous compression that increases after time zero, full recovery of plantar gapping with 3-and 4-point bending, and new delivery instrumentation that does not require refrigeration or heating of the staple.…”

An Anatomic and Clinical Study of the Innervation of the Dorsal Midfoot Capsule

“…12,15,17,22 The midfoot arthrodesis literature consists mostly of case series of heterogeneous populations, with varying indications and concomitant procedures performed with limited guidance for treatment. 6,15,17 Jung et al 12 evaluated the outcomes of a large case series of patients who underwent TMT arthrodesis with multiple concomitant procedures, reporting improved pain relief and patient satisfaction, despite residual foot deformities. Because of the diversity of the available midfoot arthrodesis studies, no study has been able to provide an evidence-based protocol as a definitive standard of treatment.…”