Abstract
We describe an arthroscopic approach of tarsometatarsal arthrodesis for post-traumatic arthritis. Five tarsometatarsal portals (medial, P1–2, P2–3, P3–4, P4–5) are identified at the junctional points between the metatarsals by means of image intensifier. The first metatarsocuneiform joint is approached through the medial and P1–2 portal. Articular cartilage is denuded and micro-fracture of subchondral bone is performed with an arthroscopic awl. The second metatarsocuneiform joint is approached through the P1–2 and P2–3 portals and the third metatarsocuneiform joint is approached through the P2–3 and P3–4 portals. The articular surfaces are prepared for arthrodesis. The articulations are kept in desired position and transfixed with 4.0 mm cannulated screws. The fourth and fifth metatarsocuboid articulations are rarely included in the procedure. Arthroscopic arthrodesis or tendon arthroplasty of the lateral column can be performed through the P3–4 and P4–5 portals.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Curtis MJ, Myerson MS, Szura B (1993) Tarsometatarsal joint injuries in the athlete. Am J Sports Med 21:497–502
Lui TH, Chan KB, Ng S (2005) Technical note: arthroscopic Lapidus arthrodesis. Arthroscopy 21(12):1516e1–1516e4
Raikin SM, Schon LC (2003) Arthrodesis of the fourth and fifth tarsometatarsal joints of the midfoot. Foot Ankle Int 24(8):584–590
Berlet GC, Anderson RB (2002) Tendon arthroplasty for basal fourth and fifth metatarsal arthritis. Foot Ankle Int 23(5):440–446
Komenda GA, Myerson MS, Biddinger KR (1996) Results of arthrodesis of the tarsometatarsal joints after traumatic injury. J Bone Joint Surg Am 78-A:1665–1676
Myerson MS (1999) The diagnosis and treatment of injury to the tarsometatarsal joint complex. J Bone Joint Surg Br 81-B(5):756–763
Scranton PE Jr (1999) Comparison of the open isolated subtalar arthrodesis with autogenous bone graft versus outpatient arthroscopic subtalar arthrodesis using injectable bone morphogenous protein-enhanced graft. Foot Ankle Int 20(3):162–165
Perez Carro L, Busta Vallina B (1999) Arthroscopic-assisted first metatarophalangeal joint arthrodesis. Arthroscopy 15(2):215–217
Lui TH (2006) New technique: arthroscopic triple arthrodesis. Arthroscopy 22(4):464e1–464e5
Early JS, Bucholz RW (1996) Lisfranc injuries and their management. Curr Orthop 10:169–173
Ouzounian TJ, Shereff MJ (1989) In vitro determination of midfoot motion. Foot Ankle 10:140–146
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Lui, T.H. Arthroscopic tarsometatarsal (Lisfranc) arthrodesis. Knee Surg Sports Traumatol Arthrosc 15, 671–675 (2007). https://doi.org/10.1007/s00167-006-0142-6
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00167-006-0142-6