Basal resection arthroplasty in TarsoMetatarsal arthritis, a new approach (BATMAN Technique): Technical note and outcomes.

IF 2.2 3区医学 Q2 ORTHOPEDICS

Orthopaedics & Traumatology-Surgery & Research Pub Date : 2025-06-30 DOI:10.1016/j.otsr.2025.104324

Naveen Nara, Marion Dias, Julien Lucas Y Hernandez, Olivier Laffenêtre

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引用次数: 0

Abstract

Background: Tarsometatarsal arthritis is a significant cause of disability and is commonly treated with arthrodesis, which has limitations such as hardware-related complications and adjacent joint stress. Metatarsal base resection-arthroplasty offers a novel, mobility-preserving alternative.

Technique and results: A total of 24 feet were operated on with the BATMAN Technique. Resection consisted of a wedge-shaped resection of the base and dorsal part of the metatarsal, starting approximately 1 cm distal to the joint line with an angle of approximately 45 ° and preserving the plantar hinge. The resection involved the 2nd and 3rd metatarsals in 15/24 feet (62%). Mean follow-up was 51 ± 25.8 months, with favorable outcomes. Complications were limited to metatarsalgia and clinical progression of osteoarthritis on adjacent rays in 4 patients.

Discussion: Metatarsal base resection-arthroplasty seemed to be a safe and feasible technique for managing tarsometatarsal arthritis. Further studies are needed to confirm its efficacy and refine its indications.

Level of evidence: IV.

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基底关节切除术治疗跗跖关节炎，一种新的方法（BATMAN技术）：技术说明和结果。

背景：跗跖关节炎是致残的重要原因，通常采用关节融合术治疗，但其局限性如硬件相关并发症和相邻关节应力。跖骨基底切除-关节成形术提供了一种新颖的、保留活动能力的替代方法。技术与结果：采用BATMAN技术对24个足部进行了手术。切除包括跖骨基部和背侧的楔形切除，从关节线远端约1cm处开始，角度约为45°，并保留足底铰链。切除15/24英尺的第2和第3跖骨（62%）。平均随访51±25.8个月，预后良好。4例患者的并发症仅限于跖骨痛和相邻射线上骨关节炎的临床进展。讨论：跖骨基底切除术-关节成形术似乎是治疗跖骨关节炎的一种安全可行的技术。需要进一步的研究来证实其疗效并完善其适应症。证据等级：四级。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Orthopaedics & Traumatology-Surgery & Research 医学-外科

CiteScore

5.10

自引率

26.10%

发文量

329

审稿时长

12.5 weeks

期刊介绍： Orthopaedics & Traumatology: Surgery & Research (OTSR) publishes original scientific work in English related to all domains of orthopaedics. Original articles, Reviews, Technical notes and Concise follow-up of a former OTSR study are published in English in electronic form only and indexed in the main international databases.