Percutaneous First Metatarsocuneiform Joint Arthrodesis: Treatment of Severe Recurrent Forefoot Deformity Complicated by an Infected Wound

Abstract

Percutaneous surgery for some forefoot deformities is now accepted by some orthopaedic surgeons as a viable fixation technique in the presence of infection. In most cases percutaneous surgery refers to distal procedures limiting its application in hallux valgus surgery. The purpose of this report was to develop a percutaneous first metatarsocuneiform joint arthrodesis technique in the presence of infection. This case report represents an example of successful surgical treatment of a severe recurrent forefoot deformity complicated by an infected wound. The arthrodesis fused three months after surgery. The effectiveness and reproducibility of a percutaneous modification in the Lapidus procedure should be investigated further.