Revision Lapidus Arthrodesis by Bone Endoscopy | Zendy

Tun Hing Lui | Zendy

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Revision Lapidus Arthrodesis by Bone Endoscopy

Author(s) -

Tun Hing Lui

Publication year - 2016

Publication title -

arthroscopy techniques

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.66

H-Index - 31

ISSN - 2212-6287

DOI - 10.1016/j.eats.2016.02.029

Subject(s) - medicine , nonunion , arthrodesis , surgery , bone cyst , endoscopy , bone grafting , pathology , alternative medicine

Revision arthrodesis is indicated in symptomatic nonunion of the first tarsometatarsal joint. Revision by first tarsometatarsal arthroscopy cannot deal with the dilated screw tract and associated bone cysts. Revision by bone endoscopy is indicated in symptomatic nonunion of the first tarsometatarsal joint, which is previously fixed by transarticular screw along with loosening of the screw and bone cyst formation. The screw tract makes up the portal tract, with the proximal and distal ends of the tract corresponding to the proximal and distal portals, respectively. In this technical note, we describe zonal debridement and bone grafting of the bone cysts, nonunion site, and the screw tract via the bone endoscopy. This can resolve all the co-pathologies of nonunion of the first tarsometatarsal fusion.

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