Hollawell Shane M, Kane Brendan J, Paternina Juliana P, Santamaria Gregory J, Heisey Christopher M
Associate Clinical Professor, Rutgers New Jersey Medical School, Newark, NJ.
Resident Physician, Jersey Shore University Medical Center, Hackensack Meridian Health, Neptune, NJ.
J Foot Ankle Surg. 2019 Mar;58(2):387-391. doi: 10.1053/j.jfas.2018.08.039. Epub 2019 Jan 15.
Lesser metatarsophalangeal joint pathology is a common condition facing the foot and ankle surgeon, often beginning as a mild subluxation of the toe and progressing to a full dislocation of the metatarsophalangeal joint. In severe or recalcitrant deformities, traditional conservative and surgical methods can fail to resolve the issue. We report on 4 patients with 5 severely dislocated lesser metatarsophalangeal joints with varied etiologies and comorbidities who underwent arthrodesis of these joints using screw and plate fixation. All patients achieved radiographic and clinical signs of union at an average of 16.4 weeks.
小趾跖趾关节病变是足踝外科医生常面临的一种疾病，通常始于脚趾轻度半脱位，进而发展为跖趾关节完全脱位。在严重或顽固性畸形中，传统的保守和手术方法可能无法解决问题。我们报告了4例患者，共5个严重脱位的小趾跖趾关节，病因和合并症各不相同，这些关节采用螺钉和钢板固定进行了关节融合术。所有患者平均在16.4周时达到了影像学和临床愈合迹象。
