Technique and Tips for Multiplanar Correction of Plantar Plate Repairs in Lesser Metatarsophalangeal Joints.

Abstract

Plantar plate repairs are challenging procedures because of the small anatomy of the plantar plate. This can make them daunting, time-consuming procedures to perform. Advances in technology, such as interference screws and small suture passers, have created improved technique possibilities to decrease difficulty, correct multiple planes of deformity, create stronger constructs, and improve patient results. The plantar plate repair technique presented in this article includes a dorsal approach with a metatarsal osteotomy, a knotless repair that provides a strong construct to allow patients to protectively bear weight immediately, and can reduce operative time by presenting tips to quickly navigate the procedure. The presented technique allows for detailed correction of all three planes of deformity, maximizing patient results.

• Authors: Brant L McCartan, Christopher A Juels, Jonathan A Shih
• Journal: Journal of the American Podiatric Medical Association (J Am Podiatr Med Assoc) Vol. 109 Issue 1 Pg. 80-86 (Jan 2019) ISSN: 1930-8264 [Electronic] United States
• PMID: 30964313 (Publication Type: Journal Article)

Topics

• Bone Wires
• Humans
• Metatarsal Bones (surgery)
• Metatarsophalangeal Joint (surgery)
• Osteotomy
• Plantar Plate (injuries, surgery)
• Podiatry (methods)
• Suture Techniques