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Isolated lateral tarsometatarsal joint arthrodesis: a case report
D S Park1, A J Schram, N M Stone
1Kern Hospital and Medical Center, Warren, MI, USA.
Summary
This case report details treating isolated lateral tarsometatarsal joint arthrosis. Revisional inlay bone grafting successfully achieved solid arthrodesis after initial nonunion, alleviating debilitating symptoms.
Area of Science:
- Orthopedic Surgery
- Foot and Ankle Reconstruction
- Podiatric Medicine
Background:
- Isolated lateral tarsometatarsal joint arthrosis is rarely documented.
- Surgical interventions typically involve broader Lisfranc's joint arthrodesis.
- Degenerative arthritis in this specific joint can cause debilitating symptoms.
Observation:
- A case of isolated lateral tarsometatarsal joint arthrosis is presented.
- Initial treatment with dowel grafting of the fourth and fifth metatarsocuboid joints resulted in nonunion.
- Revisional inlay bone grafting was performed for nonunion.
Findings:
- Revisional inlay bone grafting successfully achieved solid arthrodesis.
- The procedure, despite potential biomechanical drawbacks, effectively addressed the patient's symptoms.
- This highlights inlay bone grafting as a viable salvage option.
Implications:
- Demonstrates a successful surgical technique for a rare condition.
- Suggests inlay bone grafting as an effective salvage procedure for lateral tarsometatarsal joint nonunion.
- Emphasizes the importance of addressing debilitating joint pain even with potential biomechanical consequences.