title: First metatarsophalangeal joint arthrodesis with the Truncated Cone Reamer System.
abstract: This manuscript introduces to the podiatric community the Truncated Cone Reamer (TCR) System for precise fashioning of the first metatarsal and proximal phalanx for a first metatarsophalangeal joint peg-in-hole type arthrodesis. As the name of the system suggests, the device reams out a truncated male cone at the metatarsal head and a corresponding female cone at the phalangeal base in the desired position. There is congruous cancellous bony contact at all apposing surfaces of the truncated cone for bony consolidation. The peg-in-hole intrinsically confers the arthrodesis stability. The authors present a step-by-step use of the TCR system, and a 1 year follow-up case study in which the TCR system was used as a template.
authors.affiliation: Department of Podiatric Surgery, Lakeside Community Hospital/Watertower Surgicenter, Chicago, Illinois.
authors.forename: G S
authors.initials: GS
authors.lastname: Shim
authors.forename: I
authors.initials: I
authors.lastname: Pikscher
authors.forename: N
authors.initials: N
authors.lastname: Frankel
mesh_terms: D001174:Arthrodesis / Q000295:instrumentation* / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006214:Hallux / Q000601:surgery; D006801:Humans; D008297:Male; D008683:Metatarsophalangeal Joint / Q000000981:diagnostic imaging / Q000601:surgery*; D008875:Middle Aged; D011182:Postoperative Care; D011859:Radiography