Medial Column Arthrodesis Using an Anatomic Distal Fibular Locking Plate

Area of Science:

• Orthopedic Surgery
• Foot and Ankle Reconstruction
• Biomechanical Engineering

Background:

• Medial column fusion addresses various foot deformities like peritalar subluxation, Charcot arthropathy, trauma, and arthritis.
• Existing surgical techniques for medial column arthrodesis have limitations.
• A need exists for robust fixation methods, especially in compromised bone.

Purpose of the Study:

• To describe a new fixation technique for medial column arthrodesis.
• To evaluate the utility of an anatomic distal fibular locking plate for this procedure.
• To present case examples demonstrating the technique's application.

Main Methods:

• A novel surgical technique employing an anatomic distal fibular locking plate for medial column fusion is detailed.
• The construct is designed to provide rigid fixation, particularly in at-risk or compromised bone.
• Two clinical cases involving peritalar subluxation and Charcot arthropathy are presented to illustrate the technique.

Main Results:

• The described fixation method using a distal fibular locking plate offers a rigid construct.
• The technique is applicable to various etiologies requiring medial column fusion.
• Case examples demonstrate successful application in complex foot conditions.

Conclusions:

• The anatomic distal fibular locking plate provides a viable and rigid fixation option for medial column arthrodesis.
• This technique is beneficial for patients with challenging bone quality or complex deformities.
• Further investigation may validate its broad applicability in foot and ankle surgery.