Sliding Wedge Local Bone Graft for Midfoot Arthrodesis

Schon, Lew C.; Acevedo, Jorge I.; Mann, Michael R.

doi:10.1177/107110079902000515

Cited by 7 publications

(4 citation statements)

References 7 publications

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“…The most common circumstances involve the treatment of diabetic neuroarthropathic midfoot deformities. 2,7,10 A variety of arthrodesis techniques have been described, including bone grafting 12 with staples, 9 Steinmann pins, tension band wires, 6 screws, 13 dowels, 5 medial or plantar plates, 4 and external fixators. Many patients have multiple joint involvement, severe deformity, and bone loss, presenting a reduction and fixation challenge to the treating surgeon.…”

Section: Discussionmentioning

confidence: 99%

Dorsal Modified Calcaneal Plate for Extensive Midfoot Arthrodesis

et al. 2005

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The use of a dorsal calcaneal plate is a viable method of fixation for achieving fusion in extensive midfoot arthropathy. The plate is low-profile and easily moldable to conform to dorsal midfoot anatomy. It can be placed without extensive plantar or medial foot dissection and maintains midfoot alignment until bony fusion occurs. In patients with complex midfoot pathology requiring multijoint fusions, the results have been satisfactory.

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Section: Discussionmentioning

confidence: 99%

Dorsal Modified Calcaneal Plate for Extensive Midfoot Arthrodesis

et al. 2005

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“…15 No graft was used in the remaining four cases. For 26/28 arthrodeses, fusion of the lateral column was evident clinically and radiographically.…”

Section: Resultsmentioning

confidence: 99%

“…In 24/28 cases, the procedure used local autologous bone graft harvested from bony wedges resected at the time of deformity correction and the sliding wedge bone graft technique. 15 No graft was used in the remaining four cases. For 26/28 arthrodeses, fusion of the lateral column was evident clinically and radiographically.…”

Section: Resultsmentioning

confidence: 99%

Arthrodesis of the Fourth and Fifth Tarsometatarsal Joints of the Midfoot

Raikin

Schon

2003

Foot Ankle Int.

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Maintaining mobility of the fourth and fifth tarsometatarsal joints has been reported to be important in arthrodesis of the midfoot. A review of the records at a tertiary care center of 23 patients (28 feet) with arthrodesis of these joints and a minimum 2-year follow-up showed that 22 complete midfoot arthrodeses were performed as part of the correction for a neuroarthropathic rocker-bottom deformity. Six arthrodeses of the fourth and fifth metatarsal joints were performed on normosensate feet with painful arthritis involving the lateral joints. Clinical and radiographic fusion occurred in 26 of 28 feet. Comparing average preoperative and postoperative scores, functional incapacity from lateral midfoot pathology decreased (8.4/10 to 2.2/10), overall pain scores improved (5.1/10 to 1.3/10), pain scores in the arthritic subgroup decreased (8.2/10 to 2.4/10), and the modified overall AOFAS midfoot score improved (35/100 to 78/100).

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“…The iliac crest is a more favored site biologically and more robust statistically even in the presence of comorbidities to include tobacco use and diabetes [20]. Despite the significant different of osteoblastic progenitor cells the donor site morbidity continues to be problematic and is associated with several complications to include protracted pain, delayed healing, numbness/ neuritis, hematoma, infection, and visceral injury [21,22] Other authors have described simple techniques for trephine calcaneal bone graft [16,23]. These offer the advantage of autogenous graft but they are not without postoperative complications, to include sural nerve injury and non-healing surgical wound over the lateral calcaneus.…”

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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Sliding Wedge Local Bone Graft for Midfoot Arthrodesis

Cited by 7 publications

References 7 publications

Dorsal Modified Calcaneal Plate for Extensive Midfoot Arthrodesis

Dorsal Modified Calcaneal Plate for Extensive Midfoot Arthrodesis

Arthrodesis of the Fourth and Fifth Tarsometatarsal Joints of the Midfoot

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

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