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

Foot & Ankle Orthopaedics

JamalAhmad¹ 

关键词: Comparison;    screws;    plate;    midfoot;    arthrodesis;    arthritis;    tarsometatarsal;    joint(s);    trans-articular;    construct;    fusion.;   

DOI  :  10.1177/2473011417S000019

学科分类：医学（综合）

来源: Sage Journals

【 摘 要 】

Category:Midfoot/ForefootIntroduction/Purpose:Arthritis of the midfoot’s 1st, 2nd, and/or 3rd tarsometatarsal joints (TMTJ) are routinely treated with arthrodesis when nonsurgical treatments fail. This surgery is traditionally performed with trans-articular screws, but newer plate- and screw constructs placed across the TMTJs may confer greater rigidity to the midfoot fusion. While in vitro biomechanical studies show advantages to using plate-and-screws over screws to achieve a solid midfoot arthrodesis, there have yet to be clinical comparative investigations about this subject. The purpose of this study is to prospectively evaluate and compare clinical and radiographic outcomes of trans-articular screws versus plate-and screw constructs for arthrodesis of the midfoot’s 1st, 2nd, and/or 3rd TMTJs in a single surgeon’s practice.Methods:Between April 2010 and December 2015, 68 patients presented with arthritis of the 1st, 2nd, and/or 3rd TMTJs that failed nonsurgical management. Of these persons, 50 enroll...

【 授权许可】

CC BY