Author:
Chang Shun-Min,Huang Peng-Ju,Farn Chui Jia,Lin Shin-Yiing,Wang Chen-Chie,Wang Chung-Li,Chen Pei-Yu
Abstract
Abstract
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
Publisher
Springer Science and Business Media LLC
Subject
Orthopedics and Sports Medicine,Rheumatology
Cited by
3 articles.
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