PMID- 21359629
OWN - NLM
STAT- MEDLINE
DCOM- 20110802
LR  - 20211020
IS  - 1439-0981 (Electronic)
IS  - 0934-6694 (Linking)
VI  - 23
IP  - 1
DP  - 2011 Feb
TI  - [Fusion of the first tarsometatarsal joint using a plantar tension band 
      osteosynthesis].
PG  - 52-9
LID - 10.1007/s00064-010-0006-6 [doi]
AB  - OBJECTIVE: Treatment of hallux valgus in patients with a pathology of the first 
      metatarsocuneiform (MC) joint by a fusion of the first MC fixed by a plantar 
      plate. The plantar plate has biomechanical advantages and has good soft tissue 
      coverage by the M. abductor hallucis. INDICATIONS: Instability or degenerative 
      arthritis of the first MC joint in patients with hallux valgus. 
      CONTRAINDICATIONS: Short first metatarsal. SURGICAL TECHNIQUE: Bone-saving 
      resection of the first MC joint. Arthrodesis using a compression screw and a 
      plantar interlocking plate. Distal soft tissue procedure and resection of the 
      exostosis. POSTOPERATIVE MANAGEMENT: For 6 weeks, a long sole, post-operative 
      shoe with weight bearing as pain allows. Mobilization of the first 
      metatarsophalangeal joint when the wound healing is assured. Full weight bearing 
      after 6-8 weeks in a normal shoe, when the bone healing is completed on the 
      x-rays. No sports with high demands on the foot for 12 weeks. Orthotics only in 
      cases with persisted pain or associated pathology. RESULTS: In a case control 
      study including 72 patients, a significantly lower rate of nonunion and soft 
      tissue problems, compared to dorsal or medial plate positioning, was observed.
FAU - Walther, M
AU  - Walther M
AD  - Zentrum fur Fuss- und Sprunggelenkchirurgie, Schon-Klinik Munchen-Harlaching, 
      Harlachingerstr. 51, 81547, Munchen, Deutschland. MWalther@schoen-kliniken.de
FAU - Simons, P
AU  - Simons P
FAU - Nass, K
AU  - Nass K
FAU - Roser, A
AU  - Roser A
LA  - ger
PT  - English Abstract
PT  - Journal Article
TT  - Die Arthrodese des Tarsometatarsal-I-Gelenks mit einer plantaren 
      Zuggurtungsosteosynthese.
PL  - Germany
TA  - Oper Orthop Traumatol
JT  - Operative Orthopadie und Traumatologie
JID - 9604937
SB  - IM
MH  - Adult
MH  - Aged
MH  - Ankle/*surgery
MH  - Bone Plates
MH  - Female
MH  - Fracture Fixation, Internal/*instrumentation/*methods
MH  - Hallux Valgus/*surgery
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Prosthesis Design
MH  - Tarsal Joints/*surgery
MH  - Treatment Outcome
EDAT- 2011/03/02 06:00
MHDA- 2011/08/04 06:00
CRDT- 2011/03/02 06:00
PHST- 2011/03/02 06:00 [entrez]
PHST- 2011/03/02 06:00 [pubmed]
PHST- 2011/08/04 06:00 [medline]
AID - 10.1007/s00064-010-0006-6 [doi]
PST - ppublish
SO  - Oper Orthop Traumatol. 2011 Feb;23(1):52-9. doi: 10.1007/s00064-010-0006-6.