Staged Revision Arthrodesis with Interposition of Tricortical Iliac Crest Autograft to Address an Infected Nonunion of the First Metatarsophalangeal Joint A Case Report

被引:0
作者
Saccomanno, Rosario [1 ,2 ]
Bitterman, Adam D. [1 ]
机构
[1] Huntington Hosp Northwell Hlth, Huntington, NY USA
[2] Huntington Hosp Northwell Hlth, 270 Pk Ave, Huntington, NY 11743 USA
关键词
METATARSAL-PHALANGEAL JOINT; FOOT;
D O I
暂无
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
A 55-year-old woman with a complicated infected nonunion after first metatarsophalangeal joint arthrodesis is presented. The patient initially underwent cross-screw fixation for the treatment of hallux rigidus that resulted in joint infection and hardware loosening. A staged surgical approach was undertaken by means of initial hardware removal with implementation of an antibiotic cement spacer followed by revision arthrodesis with interposition of tricortical iliac crest autograft. This case report aims to highlight an accepted surgical approach to address an infected nonunion at the level of the first metatarsophalangeal joint. (J Am Podiatr Med Assoc 113(1), 2023)
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页数:6
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共 17 条
[1]  
Bennett GL, 2005, FOOT ANKLE INT, V26, P593
[2]   First Metatarsalphalangeal Joint Arthrodesis: Evaluation of Plate and Screw Fixation [J].
Bennett, Gordon L. ;
Sabetta, James .
FOOT & ANKLE INTERNATIONAL, 2009, 30 (08) :752-757
[3]   CIGARETTE-SMOKING AND NONUNION AFTER ANKLE ARTHRODESIS [J].
COBB, TK ;
GABRIELSEN, TA ;
CAMPBELL, DC ;
WALLRICHS, SL ;
ILSTRUP, DM .
FOOT & ANKLE, 1994, 15 (02) :64-67
[4]  
Hamilton Graham A, 2009, Clin Podiatr Med Surg, V26, P459, DOI 10.1016/j.cpm.2009.03.010
[5]   Fracture vascularity and bone healing: A systematic review of the role of VEGF [J].
Keramaris, N. C. ;
Calori, G. M. ;
Nikolaou, V. S. ;
Schemitsch, E. H. ;
Giannoudis, P. V. .
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED, 2008, 39 :S45-S57
[6]   Osteomyelitis [J].
Lew, DP ;
Waldvogel, FA .
NEW ENGLAND JOURNAL OF MEDICINE, 1997, 336 (14) :999-1007
[7]   Complications of Arthrodesis and Nonunion [J].
Martone, Jeffrey ;
Vander Poel, Laura ;
Levy, Nadia .
CLINICS IN PODIATRIC MEDICINE AND SURGERY, 2012, 29 (01) :11-+
[8]  
MCGLAMRY ED, 2013, McGlamry's Comprehensive Textbook of Foot and Ankle Surgery, V2, P1309
[9]   First metatarsal-phalangeal joint arthrodesis: A biomechanical assessment of stability [J].
Politi, J ;
Hayes, J ;
Njus, G ;
Bennett, GL ;
Kay, DB .
FOOT & ANKLE INTERNATIONAL, 2003, 24 (04) :332-337
[10]   First Metatarsal-Phalangeal Joint Arthrodesis Primary, Revision, and Salvage of Complications [J].
Roukis, Thomas S. .
CLINICS IN PODIATRIC MEDICINE AND SURGERY, 2017, 34 (03) :301-+