In Situ Tarsal Metatarsal Dowel Arthrodesis with Trephine Reamers and Cancellous Bone Plugs: A Technique Guide and Case Report
Michael W Downey*, Justin J Fleming and Benjamin Elgamil
Aria 3B Orthopaedics, Philadelphia PA, USA
- *Corresponding Author:
- Michael W Downey
DPM, AACFAS, Fellow Foot and Ankle
Aria 3B Orthopaedics, 3110 Grant Ave
Philadelphia PA 19114, USA
E-mail: [email protected]
Received date: May 04, 2016; Accepted date: May 16, 2016; Published date: May 25, 2016
Citation: Downey MW, Fleming JJ, Elgamil B (2016) In Situ Tarsal Metatarsal Dowel Arthrodesis with Trephine Reamers and Cancellous Bone Plugs:A Technique Guide and Case Report. J Arthritis 5:198. doi:10.4172/2167-7921.1000198
Copyright: © 2016 Downey MW, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Tarsalmetatarsal (TMT) osteoarthritis is encountered frequently. Pathology at the TMT joints play a role in continued foot fatigue and further compensation of gait laterally to avoid discomfort over the medial and central columns of the midfoot. Sequeula and further pathology to the central TMT joints are multifactorial. Recalcitrant pain, subtle instability, and arthrosis are commonly observed. Patients who fail nonoperative treatment are subjective to reconstructive surgical treatment. We present a straightforward stepwise technique for an in situ arthrodesis of the central TMT joints. We focus on the principles of the dowel arthrodesis with trephine reamers, cancellous bone plugs, and compressive locking plate fixation for a reproducible corrective midfoot fusion.