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Updated: May 31, 2026

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
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Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach

Published on: January 24, 2018

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.

Clinics in Podiatric Medicine and Surgery
|May 28, 2026
PubMed
Summary
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Foot & ankle specialist·2022

Minimally invasive surgery (MIS) offers a less aggressive approach for treating lesser metatarsophalangeal (MTP) joint instability caused by plantar plate rupture. This approach combines various procedures to correct MTP dislocation effectively.

Area of Science:

  • Orthopedic Surgery
  • Foot and Ankle Surgery
  • Biomechanics

Background:

  • Lesser metatarsophalangeal (MTP) joint instability commonly results from plantar plate rupture.
  • Advanced plantar plate rupture may necessitate surgical intervention to prevent MTP dislocation.

Purpose of the Study:

  • To propose a minimally invasive surgery (MIS) algorithm for treating MTP joint instability.
  • To outline a strategy combining osseous and soft tissue procedures tailored to the degree of plantar plate rupture.

Main Methods:

  • Development of a treatment algorithm based on minimally invasive surgical techniques.
  • Combination of various osseous and/or soft tissue surgical procedures.
  • Algorithm adaptation based on the clinical evolution and severity of the plantar plate rupture.
Keywords:
DMMOMISMTPMinimally invasivePlantar plate

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Last Updated: May 31, 2026

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Main Results:

  • MIS provides a less aggressive surgical option for MTP joint instability.
  • The proposed algorithm enables excellent clinical correction and functional recovery.
  • Tailored surgical combinations achieve effective management of varying stages of plantar plate rupture.

Conclusions:

  • An algorithm for MIS treatment of MTP instability can effectively address plantar plate ruptures.
  • Minimally invasive approaches offer a viable alternative to traditional surgery.
  • Personalized surgical combinations are key to successful outcomes in MTP joint instability.