Technical Tip and Cost Analysis for Lesser Toe Plantar Plate Repair With a Curved Suture Needle

Clement, R. Carter; Eskildsen, Scott M.; Tennant, Joshua N.

doi:10.1177/1071100714558510

Cited by 10 publications

(5 citation statements)

References 17 publications

(46 reference statements)

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Section: Resultsmentioning

confidence: 99%

“…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 ]. Clements and Ghai reported the case of a plantar plate injury that was treated using Keith needles to pass sutures through the plantar plate and a bent angiocatheter needle as a hook to retrieve the suture [ 48 ].…”

Section: Resultsmentioning

confidence: 99%

“…A torn plantar plate is small and difficult to access using the regular instruments in a restricted operative field via the dorsal approach [ 27 , 28 ]. There are some commercial devices or instruments available for direct plantar plate repair, but they are costly and cannot be universally applied [ 24 , 29 ]. Therefore, in this report, an inexpensive and versatile method for plantar plate repair was used to remedy various configurations of plantar plate tears using the standard equipment available in most operating rooms.…”

Section: Introductionmentioning

confidence: 99%

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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%

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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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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“…In addition, further technique modifications may allow for this technique to be applied to an arthroscopic approach to plantar plate repair. This technique may also reduce cost as compared with industry-designed plantar plate repair systems 16…”

Section: Discussionmentioning

confidence: 99%

“…This technique may also reduce cost as compared with industry-designed plantar plate repair systems. 16…”

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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Les métatarsalgies

Besse

2016

Conférences d'Enseignement 2016

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Technical Tip and Cost Analysis for Lesser Toe Plantar Plate Repair With a Curved Suture Needle

Abstract: Level of Evidence:Level V, expert opinion.

Cited by 10 publications

References 17 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

Les métatarsalgies

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