Suspension and Dynamic Compression of the Medial Column Using a Tension Band Mesh Plate

Medial Column Arthrodesis Using an Anatomic Distal Fibular Locking Plate

“…Extensive data have been published on the medial column arthrodesis, describing a multitude of fixation techniques. However, little has been published on the use of plate fixation for medial column arthrodesis (1,4,8,10,16,20). Plate fixation has been described for medial column fusion in the setting of Charcot arthropathy (10,16).…”

“…They recommended obtaining manual compression of the medial column intraoperatively by dorsiflexing the hallux and applying pressure across the medial column during placement of most of the distal screws (10). Investigators have described the use of plate fixation in medial column arthrodesis for planovalgus deformity and arthritic conditions (1,4,8,20). Catanzariti (1) described the surgical technique for medial column arthrodesis of the medial and intermediate intercuneiform joints, first metatarsal-medial cuneiform joint, and first intercuneiform joint using a 5-hole "T" plate along the medial naviculocuneiform joints with screw and/or Steinman pin augmentation.…”

“…Shibuya et al (8) described the use of a plantar tension band mesh plate for medial column fusions in flatfoot reconstruction. They stated that the mesh plate is low profile, provides angular stability at the plate-screw interface by variable angle locking, and provides the surgeon freedom with screw insertion secondary to the multiple screw holes in the mesh fashion.…”

“…Current data have focused on medial column fusion procedures for peritalar subluxation deformity (1)(2)(3)(4)(5)(6)(7)(8) and Charcot arthropathy (9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19); however, the procedure can be performed for any painful arthritic condition or deformity of the medial column (20). Depending on the etiology of the deformity and the radiographic presentation, any combination of medial column arthrodeses can be performed alone or combined with each other for the tarsometatarsal joint, naviculocuneiform joint, and talonavicular joint (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20).…”

“…Multiple fixation options have been described for medial column arthrodesis, including screw fixation, intramedullary beaming using a screw or fusion bolt, plate fixation, external fixation, or a combination of these (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20). We describe the use of the VariAx Fibula Locking Plate System (StrykerÒ Orthopaedics, Mahwah, NJ) for fixation in medial column arthrodesis.…”