title: Tarsometatarsal joint arthrodesis with trephine joint resection and dowel calcaneal bone graft.
abstract: Arthritis of the tarsometatarsal joints is a challenging problem to treat. It can cause chronic foot pain and functional disability. We present a surgical technique for tarsometatarsal joint arthrodesis using a trephine to resect the articular surfaces and a dowel plug of an autogenous calcaneal graft with locking plate fixation. The procedure has been shown to result in osseous fusion, and it is technically relatively simple to complete.
authors.affiliation: Podiatric Surgical Trainee, Norwich Community Hospital, Norwich, United Kingdom. Electronic address: chris.withey@nchc.nhs.uk.
authors.forename: Christopher J
authors.initials: CJ
authors.lastname: Withey
authors.affiliation: Consultant Podiatric Surgeon, Norwich Community Hospital, Norwich, United Kingdom.
authors.forename: Anthony L
authors.initials: AL
authors.lastname: Murphy
authors.affiliation: Specialist Podiatrist, Norwich Community Hospital, Norwich, United Kingdom.
authors.forename: Rebecca
authors.initials: R
authors.lastname: Horner
mesh_terms: D001168:Arthritis / Q000000981:diagnostic imaging / Q000601:surgery*; D001174:Arthrodesis; D016025:Bone Transplantation; D002111:Calcaneus / Q000637:transplantation*; D006801:Humans; D008682:Metatarsal Bones / Q000000981:diagnostic imaging / Q000601:surgery; D011859:Radiography; D013640:Tarsal Joints / Q000000981:diagnostic imaging / Q000601:surgery*
keywords: Lisfranc joint; cuneiform; metatarsal; osteoarthritis