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Published on: January 24, 2018
Symptomatic first metatarsocuneiform nonunion revised by arthroscopic lapidus arthrodesis
1Department of Orthopaedics and Traumatology, North District Hospital, Sheung Shui, New Territories, Hong Kong SAR, China. luithderek@yahoo.co.uk
Summary
This study details a successful arthroscopic revision for painful first metatarsocuneiform nonunion after Lapidus arthrodesis. It highlights an unusual approach to a common complication in hallux valgus surgery.
Area of Science:
- Orthopedic Surgery
- Foot and Ankle Surgery
- Arthroscopy
Background:
- Lapidus arthrodesis is a standard procedure for advanced hallux valgus and first ray hypermobility.
- Nonunion of the first metatarsocuneiform joint is the most common complication following Lapidus arthrodesis.
- Revision surgery is often necessary for persistent pain and instability.
Observation:
- A case of painful first metatarsocuneiform nonunion post-Lapidus arthrodesis was identified.
- The nonunion presented as a significant source of patient discomfort and functional limitation.
- Standard revision techniques were considered but an arthroscopic approach was chosen.
Findings:
- Arthroscopic revision Lapidus arthrodesis successfully achieved fusion in the presented case.
- The minimally invasive technique addressed the nonunion effectively, alleviating pain.
- This approach offers a viable alternative for managing this specific postoperative complication.
Implications:
- Arthroscopic revision Lapidus arthrodesis may be a valuable option for treating metatarsocuneiform nonunion.
- This technique could potentially reduce recovery time and complications compared to open revision.
- Further research is warranted to establish the broader efficacy and long-term outcomes of this approach.