What is medial column fusion?
The SOLE™ Medial Column Fusion Plate (SOLE MCF) is a plating line designed to address specific needs of foot and ankle deformities and reconstructions, involving small bone joints and osteotomies within the midfoot and hindfoot.
What is the medial column of the foot?
Columns of the Foot The medial column is more mobile and consists of the talus, navicular, medial cuneiform, 1st metatarsal, and great toe. The lateral column is stiffer and includes the calcaneus, cuboid, and the 4th and 5th metatarsals.
What is a triple arthrodesis of foot?
The triple arthrodesis is a versatile procedure useful in many pedal conditions and gait disturbances. The term “triple” arthrodesis refers to a fusion procedure of three joints of the hindfoot; the subtalar joint (talus and calcaneus), the talonavicular joint, and the calcaneocuboid joint.
What is an arthrodesis procedure?
Arthrodesis is a surgical procedure that fuses the bones in a joint so they don’t move. This is common for people who have arthritis — a condition where moving joints can be painful. Arthrodesis in the wrist stabilizes the joint. It fuses the long bone in your forearm to the smaller bones in your wrist.
What is a medial column?
What is medial column arthrodesis? A medial column arthrodesis involves removing the joints between the navicular, medial cuneiform and first metatarsal to reduce motion, correct deformity and eliminate pain.
What is medial column collapse?
As the posture of the foot progresses into hindfoot valgus and forefoot abduction through attenuation of the medial structures of the foot, the medial column begins to change shape. The first ray elevates and the joints of the medial column may begin to collapse.
Is foot fusion surgery painful?
You won’t feel any pain because the area will be numb. You will soon meet with a physical therapist to discuss how to walk without putting weight on your foot. Once you are comfortable (usually a day or two after surgery, you will go home with instructions and pain medications.
How long does it take for a foot bone fusion to heal?
Timeline: The recovery period for a foot fusion surgery can range from 2-3 months.
What is the difference between arthrodesis and fusion?
Arthrodesis, also referred to as a joint fusion, the uniting of two bones at a joint, is typically completed through surgery. In simple terms, the orthopedic surgeon manually straightens out the damaged joint, removes the cartilage, and then stabilizes the bone so that they heal together.
Can you walk after knee fusion?
You might need to remain in the hospital for up to two weeks following the procedure. You must wear the cast for 12 weeks after your surgery. Your doctor may give you crutches to help you move around. You can’t put weight on your knee(s) for a minimum of 12 weeks.
What is midfoot sag?
When the arch sags, the small joints of the midfoot impinge at the top of the arch/midfoot. When this happens over and over with weight-bearing activities, the top portion of those joints can become painful, and sometimes even a bit swollen.
How do I fix my hindfoot valgus?
The medial sliding osteotomy of the calcaneus is a simple and effective treatment for hindfoot valgus in pediatric patients with severe hindfoot valgus. It provides excellent correction of the deformity, allows early weight bearing, and preserves subtalar motion.
How soon can you walk after foot fusion surgery?
During the second week after your operation, you should be able to walk short distances using your crutches, but it is crucial to remember to refrain from putting any weight on your foot. After six weeks and once an X-ray confirms that your bones are healing correctly, you can start to put weight on your foot.
How long does a mid foot fusion take?
The surgery is performed through 1-3 incisions over the top of the foot. The arthritic joint surfaces are excised (cut out) and the joint fixed together with screws. The operation takes approximately 2 hours.
How successful is foot fusion?
Excellent pain relief quite quickly and improving as the joints fuse, which can take 3 months. Good level of activity and sports by 6 months to continue to improve up to 12 months. Fusion operations have excellent outcomes in over 90%. Mild swelling can persist in the foot for up to a year.
Can you bend a fused knee?
After you have undergone knee fusion you will experience pain and swelling around the fused knee joint as a result of the surgical technique used. Your leg will be rigid and you will be unable to bend your knee. Your leg will be elevated to maintain circulation and reduce any swelling.
Can you drive with a fused knee?
Many patients were unable to return to work or to participate in social activities. The optimal position for fusion is 15 to 20 degrees of flexion, which results in a smoother gait and less difficulty for the patient in driving a car.
What causes foot bones to fuse together?
Diagnosis. The most common reason for midfoot fusion is painful arthritis in the midfoot joints that has not improved with non-surgical treatment. Other common reasons to do a midfoot fusion include too much motion of one or more of the midfoot joints or deformity of the midfoot.
How do you do a medial column fusion plate?
VA LCP Medial Column Fusion Plates 3.5 c 7) Insert a 3.5 mm VA Locking screw in the metatarsal portion of the plate following the Variable Angle Locking screw insertion technique on page 8–13. Remove the compression wire and compression rod.
Where do you make an incision for lateral column fusion?
Approach Make a medial utility incision 1 cm below the medial malleolus, from the navicular down to the ﬁrst metatarsal. When inserting the VA LCP Medial Column Fusion Plan-tar Plate 3.5, make an incision at the junction of the plantar and medial skin, right above the abductor and inferior border of the ﬁrst metatarsal.
What is LCP medial column fusion?
VA LCP Medial Column Fusion Plates 3.5 are designed for fusion applications, speciﬁcally Charcot foot or severe arthritis. Plates are designed to stabilize the medial column and restore the arch.
What is the purpose of a medial column alignment?
It is commonly utilized to provide medial column stability in flatfoot surgery, when there is accompanying hindfoot and possibly ankle pathology. Hindfoot realignment should be used as the primary procedure (arthroereisis, calcaneal osteotomy, or hindfoot arthrodesis) followed by medial column fusion to align the forefoot to the rearfoot.