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Lesser Metatarsophalangeal Joint Instability: Minimally Invasive Surgery Treatment Alternatives.

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Lesser Metatarsophalangeal Joint Instability: Minimally Invasive Surgery Treatment Alternatives.

Mariano de Prado1, Manuel Cuervas-Mons2

  • 1Department Orthopaedics and Trauma Surgery, University Hospital Quiron Murcia, C/ Miguel Hernandez 12. 30011, Murcia, Spain.

Foot and Ankle Clinics
|October 24, 2024
PubMed
Summary
This summary is machine-generated.

Minimally invasive surgery (MIS) offers a less aggressive approach for treating lesser metatarsophalangeal (MTP) joint instability caused by plantar plate rupture. This approach enables excellent clinical correction and good function, with tailored surgical procedures based on rupture severity.

Keywords:
DMMOMISMTPMinimally invasivePlantar plate

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Area of Science:

  • Orthopedic Surgery
  • Foot and Ankle Surgery
  • Sports Medicine

Background:

  • Lesser metatarsophalangeal (MTP) joint instability commonly results from plantar plate rupture.
  • Advanced plantar plate ruptures may necessitate surgical intervention to prevent MTP joint dislocation.
  • Traditional surgical approaches can be invasive, potentially leading to longer recovery times and complications.

Purpose of the Study:

  • To propose a minimally invasive surgery (MIS) algorithm for treating MTP joint instability.
  • To outline a tailored surgical approach combining osseous and soft tissue procedures based on rupture severity.
  • To evaluate the efficacy of MIS in achieving clinical correction and functional recovery for MTP instability.

Main Methods:

  • Development of a treatment algorithm for MIS management of MTP joint instability.
  • Application of a combination of osseous and/or soft tissue surgical procedures.
  • Surgical technique selection tailored to the specific degree of plantar plate rupture evolution.

Main Results:

  • MIS provides a less aggressive surgical option for MTP joint instability.
  • The proposed algorithm allows for customized surgical combinations to address varying rupture severities.
  • Excellent clinical correction and good functional outcomes are achievable with MIS.

Conclusions:

  • An algorithm for MIS treatment of MTP instability based on plantar plate rupture is presented.
  • MIS offers a viable, less invasive alternative to traditional surgery for MTP joint instability.
  • Tailored surgical combinations within the MIS framework can lead to successful patient outcomes.