Percutaneous First Metatarsocuneiform Joint Arthrodesis: Treatment of Severe Recurrent Forefoot Deformity Complicated by an Infected Wound

Abstract

The Foot and Ankle Online Journal 5 (3): 2 Percutaneous surgery for some forefoot deformities is now accepted by some orthopaedic surgeons as a viable fixation technique in the presence of infection. In most cases percutaneous surgery refers to distal procedures limiting its application in hallux valgus Case reportA 73 year-old female underwent hallux valgus surgery 15 years ago. No documents were uncovered concerning the surgical technique or circumstances of surgery. For the last 5 years the patient has noticed a gradual recurrence of the forefoot deformity. One month prior to presentation, she developed acute first metatarsophalangeal (1 st MTP) joint inflammation with fever up to 39 degrees Celsius. A draining, purulent wound appeared a few days later. The patient was admitted to the septic department of another hospital. She was treated conservatively for several days with some improvement and then transferred to our clinic.

Percutaneous Modification of First Metatarsocuneiform Joint Arthrodesis: A Prospective Study

“…В 21 случае одноэтапно выполнены чрескожные вмешательства на одном или более латеральном луче. Одной пациентке операция произведена в один этап с хирургической обработкой инфицированной раны в области головки 1-й плюсневой кости [2]. В другом случае осуществлены медиализирующая остеотомия пяточной кости, артродез таранноладьевидного сустава и вмешательство по поводу молоткообразной деформации 2 пальца.…”