PERCUTANEOUS MODIFICATION OF FIRST METATARSOCUNEIFORM JOINT ARTHRODESIS: A PROSPECTIVE STUDY

Objective: to reduce surgical approach and to ensure early weight bearing postoperatively. Material and method: by the example of 24 surgeries the results of the 1st MTCJ arthrodesis percutaneous modification, proposed by the author, were reviewed with the mean follow-up of 6 months. Surgical technique was described. 1st MTCJ hypermobility, severe metatarsus primus varus and previous surgeries failures were the indications for surgery. Immediate ambulation with one crutch and fool weight bearing since the 4-5th week postoperatively were authorized. Results: desired correction of the first metatarsal was achieved during 23 interventions. Arthrodesis had fused in 21 of 23 cases that were followed up. Two cases of non-union did not require reoperation. No infectious complications were noted.21 patients were discharged the next day after surgery due to painless early postoperative period. Conclusions: percutaneous 1st MTCJ arthrodesis is a safe and predictable procedure. Proposed surgical technique provides a reliable correction of metatarsus primus varus avoiding the main disadvantages of Lapidus procedure: extensive operative approach and postoperative period of fool non-weight bearing.

артродез первого плюснеклиновидного сустава, чрескожная хирургия стопы, операция Лапидуса, first metatarsocuneiform joint arthrodesis, percutaneous foot surgery, Lapidus procedure