A Suture-Button Technique for Stabilization of the Plantar Plate and Lesser Metatarsophalangeal Joint

Judge, Molly S.; Hild, Gina

doi:10.1053/j.jfas.2017.09.008

Cited by 6 publications

(3 citation statements)

References 28 publications

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“…Some studies have proposed using suture passing techniques for plantar plate repairs [ 29 , 47 – 49 ]. Clement et al reported a technical tip of direct plantar plate repairs using a single skin hook to distract the distal end of the plantar plate and passing sutures with small-radius curved needles [ 29 ].…”

Section: Resultsmentioning

confidence: 99%

A versatile method for dorsal-approach plantar plate repair using standard operative instruments

Chang

Huang

Farn

et al. 2022

BMC Musculoskelet Disord

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Background The plantar plate is an important static stabilizer of the lesser metatarsophalangeal joints, and disruptions of the plantar plate can lead to significant instability and lesser toe deformities. In recent years, direct plantar plate repair has been proposed. Although direct repair via a dorsal approach is attractive, a torn plantar plate is small and difficult to access using regular instruments in a restricted operative field. Methods In this report, a unique method for plantar plate repairs was used to repair various configurations of plantar plate tears with standard operative instruments that are available in most operating rooms. Results Using this method, 10 patients underwent plantar plate repairs, and the mean follow-up period was 24 (range, 14–38) months. The mean visual analog scale score for pain preoperatively was 4.1 (range, 0–6) and decreased to 0.6 (range, 0–3) at last follow-up. Postoperatively, the mean visual analog scale score for satisfaction was 9.6 (range, 8–10) and the mean American Orthopedic Foot and Ankle Society forefoot score was 88.8 (range, 75–100). Conclusions Our study proposes an inexpensive and versatile method for plantar plate repair via a dorsal approach that uses standard operative instruments. Trial registration ClinicalTrials.gov, NCT04949685. July 2, 2021 - Retrospectively registered, Level of clinical evidence 4

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Section: Resultsmentioning

confidence: 99%

A versatile method for dorsal-approach plantar plate repair using standard operative instruments

Chang

Huang

Farn

et al. 2022

BMC Musculoskelet Disord

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show abstract

“…9 There have been several authors who argued for the use of a free Keith needle to deliver suture from the dorsal to plantar portions of the plantar plate. [9][10][11] Judge and colleagues proposed a Vicryl repair that utilized buttress and button fixation externally to secure the plantar plate repair. 9 Kindred et al 11 utilized an angiocatheter and Keith needle passing suture dorsal to plantar and then plantar to dorsal to grasp and hold the plantar plate structures.…”

Section: Discussionmentioning

confidence: 99%

“…There have been several authors who argued for the use of a free Keith needle to deliver suture from the dorsal to plantar portions of the plantar plate 9–11. Judge and colleagues proposed a Vicryl repair that utilized buttress and button fixation externally to secure the plantar plate repair 9.…”

Section: Discussionmentioning

confidence: 99%

Reducing Instrumentation for the Dorsal Approach to Plantar Plate Repair With a FiberLoop Suture Technique

Brackney

Lesavage

Powers

2022

Techniques in Foot &Amp; Ankle Surgery

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The benefits of repairing a plantar plate tear are well described in the literature. Unfortunately, because of the anatomic location of the tear, repair with a dorsal incision is often quite difficult. To combat this, multiple published techniques, as well as industry-designed products, have been developed for visualization of the tear and suture passing. We present a novel method for dorsal repair of the plantar plate structures utilizing a straight needle FiberLoop suture and standard operative instrumentation. This technique greatly reduces the instrumentation and “fiddle factor” required for the repair. Level of Clinical Evidence: Diagnostic Level V.

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2nd Metatarsophalangeal Joint Pathology: Pre-dislocation Syndrome

Klein

WeilJr

2020

Evidence-Based Podiatry

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A Suture-Button Technique for Stabilization of the Plantar Plate and Lesser Metatarsophalangeal Joint

Cited by 6 publications

References 28 publications

A versatile method for dorsal-approach plantar plate repair using standard operative instruments

A versatile method for dorsal-approach plantar plate repair using standard operative instruments

Reducing Instrumentation for the Dorsal Approach to Plantar Plate Repair With a FiberLoop Suture Technique

2nd Metatarsophalangeal Joint Pathology: Pre-dislocation Syndrome

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