Surgical Strategies: Cement Spacer for Staged First Metatarsophalangeal Arthrodesis After Failed Arthroplasty

IF 0.1 Q4 ORTHOPEDICS

Techniques in Foot and Ankle Surgery Pub Date : 2020-12-01 DOI:10.1097/BTF.0000000000000252

S. O’Donnell, J. Vaughn, Adam Sangeorzan, Kenneth W Defontes, E. Bluman

引用次数: 1

Abstract

Revision arthrodesis following surgery for first metatarsophalangeal arthritis (hallux rigidus) is a complex problem. Failed implants, arthroplasty, primary fusion, or infection may result in bone loss with abnormal soft tissue tensions. This requires technically challenging revision surgery necessitating debridement of nonviable bone, culture, and bone grafting of resultant defects. We describe a 2-stage technique for first metatarsophalangeal arthrodesis in the setting of osteolysis, infection, or bone loss. This staged technique allows for the restoration of appropriate soft tissue tension through the use of a temporary cement spacer before structural grafting.

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手术策略：骨水泥垫片治疗关节成形术失败后第一期跖骨关节固定术

第一跖趾关节炎（拇强直）手术后的翻修关节融合术是一个复杂的问题。失败的植入物、关节成形术、初次融合或感染可能导致骨丢失，并伴有异常的软组织张力。这需要技术上具有挑战性的翻修手术，需要对无法存活的骨进行清创、培养和骨移植。我们描述了一种在骨溶解、感染或骨丢失的情况下进行第一跖趾关节融合术的两阶段技术。这种分阶段的技术允许在结构移植之前通过使用临时水泥垫片来恢复适当的软组织张力。

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

Techniques in Foot and Ankle Surgery ORTHOPEDICS-

CiteScore

0.40

自引率

0.00%

发文量

期刊介绍： Techniques in Foot & Ankle Surgery offers a unique opportunity to master the most innovative and successful surgical techniques for correction of foot and ankle disorders. Featuring contributions from the world"s foremost orthopaedic surgeons and podiatrists, this quarterly journal supplies step-by-step details on these techniques. The contributors explain the rationale, indications, and contraindications for each procedure, identify the pitfalls and potential complications, and provide invaluable tips for improving results. The journal is illustrated cover to cover with intraoperative photographs and drawings, including several in full color.