A novel technique used in a small series of patients is presented that describes a management option for the difficult situation of hallux metatarsophalangeal pathology with associated first-ray shortening and transfer lesions. Distraction arthrodesis was performed using proximal tibial cancellous autograft and locked plating to achieve an average of 10.6 mm length restoration with all patients showing radiographic signs of union by the eighth postoperative week and resolution of transfer metatarsalgia. This novel technique shows promise for reliable outcomes in a variety of historically difficult clinical situations such as inflammatory arthritis and salvage arthrodesis.
Level of Evidence: Diagnostic Level 4. See Instructions for Authors for a complete description of levels of evidence.
*PGY 3 Orthopedic Resident, Department of Orthopaedics and Sports Medicine, USF Health Morsani College of Medicine, University of South Florida
†Attending Orthopedic Surgeon, Division of Foot & Ankle Surgery, The Florida Orthopaedic Institute, Tampa, FL
The authors and staff in a position to control the content of this CME activity and their spouses/life partners (if any) have disclosed that they have no relationships with, or financial interests in, any commercial organizations pertaining to this educational activity.
Address correspondence and reprint requests to Evan M. Loewy, MD, Department of Orthopaedics and Sports Medicine, USF Health Morsani College of Medicine, University of South Florida, 5 Tampa General Circle, #710, Tampa, FL 33606. E-mail: email@example.com.
INSTRUCTIONS FOR OBTAINING AMA PRA CATEGORY 1 CREDIT TM
Techniques in Foot & Ankle Surgery includes CME-certified content that is designed to meet the educational needs of its readers. This activity is available for credit through December 31, 2016.
Earn CME credit by completing a quiz about this article. You may read the article here, on the TFAS website, or in the TFAS iPad app, and then complete the quiz, answering at least 80 percent of the questions correctly to earn CME credit. The cost of the CME exam is $10. The payment covers processing and certificate fees. If you wish to submit the test by mail, send the completed quiz with a check or money order for the $10.00 processing fee to the Lippincott CME Institute, Inc., Wolters Kluwer Health, Two Commerce Square, 2001 Market Street, 3rd Floor, Philadelphia, PA 19103. Only the first entry will be considered for credit, and must be postmarked by the expiration date. Answer sheets will be graded and certificates will be mailed to each participant within 6 to 8 weeks of participation.
Need CME STAT? Visit http://cme.lww.com for immediate results, other CME activities, and your personalized CME planner tool.
Lippincott Continuing Medical Education Institute, Inc. is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
Credit Designation Statement
Lippincott Continuing Medical Education Institute, Inc., designates this journal-based CME activity for a maximum of 1 (one) AMA PRA Category 1 Credit TM. Physicians should only claim credit commensurate with the extent of their participation in the activity.