First Tarsometatarsal Joint Instability

Description

Mr Donatas Chlebinskas gives his expert insights whilst discussing the surgical approach to correcting first TMT joint instability in a patient presenting with hallux valgus and planus deformity in this analysis. He emphasizes that Lapidus first TMT fusion combined with distal soft tissue release is the only effective treatment for this specific instability. Mr Chlebinskas cautions against other surgical procedures, such as distal osteotomies (Chevron or Mitchell), which may not adequately address the underlying issue and carry risks of under-correction. Additionally, proximal osteotomies, like Ludloff, are prone to recurrence of the deformity. The medial closing wedge osteotomy is mentioned as being seldom performed in isolation, typically reserved for specific cases involving hallux valgus interphalangeal issues.




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DOI: 10.1302/3114-251134

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