Trephine Procedure for Revision Tarsometatarsal Arthrodesis Nonunion.

Clin Podiatr Med Surg

Unitypoint Health - Iowa Methodist Medical Center, 1200 Pleasant Street, Des Moines, IA 50309, USA.

Published: July 2020

AI Article Synopsis

  • - Nonunion of tarsometatarsal arthrodesis is difficult to fix, but the trephine technique is an effective solution for revision surgery.
  • - The trephine method is favored for its benefits, such as less tissue damage, faster preparation of the joint, and reduced shortening of the joint area.
  • - The article provides a detailed guide on using the autologous graft trephine technique for repairing nonunions, along with various fixation options.

Article Abstract

Nonunion of the tarsometatarsal arthrodesis site is a challenging revision surgery. Trephine technique provides an excellent option for revision tarsometatarsal joint arthrodesis. The authors have found the trephine approach to be the procedure of choice in correction of a nonunion. When the trephine approach is indicated, it offers many advantages including minimal soft tissue dissection, quicker joint preparation, and the minimal shortening of the arthrodesis site. This article describes in detail the autologous graft trephine technique for revision surgery of a tarsometatarsal nonunion. Examples of fixation options are also discussed.

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Source
http://dx.doi.org/10.1016/j.cpm.2020.03.001DOI Listing

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