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The direct plantar plate repair technique
Jeffrey E McAlister1, Christopher F Hyer
1Orthopedic Foot and Ankle Center, Westerville, Ohio.
Foot & Ankle Specialist
|September 13, 2013
Summary
Lesser metatarsophalangeal (MTP) joint instability, often linked to plantar plate issues, can be effectively treated with a direct plantar surgical approach. This method aids in realigning the joint and correcting hammertoe deformities.
Area of Science:
- Orthopedic Surgery
- Foot and Ankle Surgery
Background:
- Lesser metatarsophalangeal (MTP) joint instability is a prevalent and debilitating condition.
- Progression involves synovitis, effusion, predislocation, and complete dislocation, significantly impacting activity.
- Current surgical methods like osteotomies and flexor transfers often yield suboptimal outcomes.
Purpose of the Study:
- To present a direct plantar approach for plantar plate repair.
- To address lesser MTP joint instability and associated hammertoe deformities.
- To offer an alternative to indirect dorsal approaches with limited visualization.
Main Methods:
- A direct plantar surgical technique for plantar plate repair.
- Realignment of the lesser MTP joint.
- Correction of associated hammertoe pathologies.
Main Results:
- The described technique facilitates direct visualization and repair of the plantar plate.
- It allows for effective realignment of the lesser MTP joint.
- Associated hammertoe deformities can be addressed concurrently.
Conclusions:
- The direct plantar approach offers a viable and effective method for treating lesser MTP joint instability.
- This technique provides direct access to the plantar plate, potentially improving surgical outcomes.
- It represents a valuable alternative for surgeons managing MTP joint instability and hammertoe deformities.
