title: Medial Column Arthrodesis Using an Anatomic Distal Fibular Locking Plate.
abstract: The medial column fusion is performed for a multitude of etiologies, including peritalar subluxation deformity, Charcot arthropathy, trauma, post-traumatic degenerative joint disease, and rheumatoid arthritis. Various surgical techniques have been described for medial column arthrodesis. We describe a new fixation method using an anatomic distal fibular locking plate for medial column arthrodesis. This technique provides a rigid construct in compromised or at risk bone. After a review of the surgical technique, we outline 2 case examples of patients with peritalar subluxation and Charcot arthropathy.
authors.affiliation: Fellow, Limb Salvage and Reconstructive Surgery, Northeast Regional Foot and Ankle Institute, Scranton, PA. Electronic address: ellienasser@gmail.com.
authors.forename: Ellianne M
authors.initials: EM
authors.lastname: Nasser
authors.affiliation: Chief, Department of Podiatric Medicine and Surgery, and Residency Director, Geisinger Community Medical Center, Scranton, PA; and Fellowship Director, Limb Salvage and Reconstructive Surgery, Northeast Regional Foot and Ankle Institute, Scranton, PA.
authors.forename: Guido A
authors.initials: GA
authors.lastname: LaPorta
authors.affiliation: Postgraduate Year-1 Resident, Geisinger Community Medical Center, Scranton, PA.
authors.forename: Kasandra
authors.initials: K
authors.lastname: Trott
mesh_terms: D000843:Ankle Joint / Q000000981:diagnostic imaging / Q000601:surgery*; D001174:Arthrodesis / Q000295:instrumentation* / Q000379:methods*; D001860:Bone Plates; D005360:Fibula / Q000601:surgery*; D005471:Fluoroscopy; D006801:Humans
keywords: Charcot neuroarthropathy; flatfoot; midfoot fusion; peritalar subluxation; surgery