Modified Lapidus arthrodesis with plantar plate and compression screw for treatment of hallux valgus with hypermobility of the first ray: A preliminary report |
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| Authors: | Kajetan Klos Christoph H Wilde Antje Lange Andreas Wagner Florian Gras Hristo Kostov Skulev Thomas Mückley Paul Simons |
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| Institution: | 1. Food and Hand Division, Department of Orthopedics, Friedrich-Schiller-University Jena, Waldkrankenhaus “Rudolf Elle” GmbH, Klosterlausnitzer Straße 81, D-07607 Eisenberg, Germany;2. Leiter Fuß- und Sprunggelenkchirurgie, Arkadenklinik Filderstadt GmbH, Nürtinger Str. 11, 70794 Filderstadt, Germany;3. Department of Trauma, Hand and Reconstructive Surgery, Friedrich-Schiller-University Jena, Germany;4. Vice Rector of Research, Technical University of Varna, 1, Studentska Str., 9010 Varna, Bulgaria;5. Department of Traumatology and Orthopaedic Surgery, Helios Klinikum Erfurt, Nordhäuser Straße 74, 99089 Erfurt, Germany;6. Foot and Ankle Surgery, Gelenkzentrum Rhein-Main, Wilhelmstraße 30, 65183 Wiesbaden, Germany |
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| Abstract: | BackgroundTMT-1 arthrodesis is an established method in hallux valgus surgery, but it is technically demanding and typically calls for a period of postoperative immobilization.MethodsIn this cohort study, initial experience with a plantar plate is described. 58 patients (59 arthrodesis) were included.ResultsThe mean duration of protected full weight bearing was 7 weeks. 94.12% patients were satisfied with the results, bony union was achieved in 98.31%. The Foot Function Index improved by 33 to a mean of 8 (p < .001). The postoperative Mayo Clinic Forefoot Score was excellent in 47.04 and good in 47.04%. The mean hallux valgus angle improved by 24.4–13.2° (p < .001). The mean first intermetatarsal angle improved by 11.2–5.2° (p < .001).ConclusionInitial experience with this form of fixation appears to provide suitable stability, allow early-protected weight bearing, with an acceptable level of complications. |
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| Keywords: | Bunion deformity Complication Foot Instability Internal fixation Metatarsal Surgery |
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