First MetatarsalCuneiform Arthrodesis for the （第一个MetatarsalCuneiform关节固定术的）.pdf

JFAS TECHNIQUES GUIDE First Metatarsal-Cuneiform Arthrodesis for the Treatment of First Ray Pathology: A Technical Guide Gregory A. Mote, DPM,1 Daniel Yarmel, DPM,2 and Amber Treaster, DPM, AACFAS3 The first tarsometatarsal arthrodesis is a powerful procedure often utilized in the correction of first ray pathology. It is primarily used to correct moderate to severe hallux abducto valgus deformity. The authors present this review as a summation of the classic and recent literature while offering a detailed illustrated technique guide for the first tarsometatarsal arthrodesis. (The Journal of Foot Ankle Surgery 48(5):593–601, 2009) Key Words: lapidus, hallux abducto valgus, arthrodesis, bunion, fusion The first tarsometatarsal arthrodesis (TMA) is a powerful The authors present this review as a summation of the procedure often utilized in the correction of first ray classic and recent literature while offering a detailed illus- pathology. Although primarily used to correct moderate to trated technique guide for the first TMA. severe hallux abducto valgus (HAV) deformity, it may be used in a variety of first ray and medial column pathology, Classic Literature Review including juvenile HAV, revisional HAV surgery, hallux limitus, hallux rigidus, met primus varus, met primus eleva- Although originally introduced by Albrecht in 1911 (1) tus, arthrosis of the first metatarsal-cuneiform joint (TMJ), and further described by Truslow in 1925 (2) and Kleinberg and medial column instability. Since its inception in the early