Osteoarthritis of the Lisfranc Joint Christian Kinast Munic Germany
Dr. Christian Kinast (ORTHOPEDIC CENTER ARABELLAPARK MUNICH, OZA, Germany) at ArthroParis 2014: Osteoarthritis of the Lisfranc Joint
May 27, 2015
Dr. Kinast lectured from 27.-28.06.2014 in 5th International Symposium of Surgical and Biological Treatments in Orthopaedics, Sports Medicine and Distal Extremity Pathologies im CNIT in Paris:
Foot and Ankle II (Live surgical, scientific discussions, meet the experts):
“Trauma of the Lower Extremity”: Osteoarthritis of the Lisfranc Joints
Associated foot deformities with atraumatic Lisfranc osteoarthritis
pes planovalgus
hallux valgus or skew foot deformities
hallux valgus with pes planovalgus
pes cavus
in-situ without deformities
Secondary flatfoot due to short metatarsus and secondary Lisfranc osteoarthitis
Lisfranc correction arthrodesis TKA total knee arthroplasty
Atraumatic Lisfranc osteoarthritis with hypermobile metatarsus primus varus
MRI helps to visualise the extent of arthritic changes
Arthrex Mini Joint Distractor
Distraction of the Lisfranc joint
Bonesaving preparation for the arthrodesis
Lapidus Plate; Quickfix Can. Screws 4.0, 3.0, 2.4 mm; Double-Compression Plate
Double Compression Plate
bonegrafting from calcaneus
Double Compression Plates
Double compression due to
oblong hole
manual bending of middle portion
3.5 mm locking and non-locking screws
2, 3 and 4 holes
20, 25 und 30 mm lengths
Lisfranc Plates
3 locking holes, 1 compression hole
Compression along the lisfranc ligament
CT allow visualization of lisfranc joint during healing process
3 Sizes: Small, Medium, Large
QuickFix Cannulated Screws + Lisfranc Plate
Lapidus Plate + Compression Staples
Flatfoot with peritalar subluxation and Lisfranc atraumatic subluxation
Calcaneus Step-Plate; H-Plate Plate (Evans); Headless Compression Screw
Lisfranc Arthrodesis Rehabilitation
2 weeks valved cast 4 - 6 weeks closed cast
Week 7 – 10 increased weight baring
CT scan week 10 - 12 ( difficult to read )
Week 11-12 full weight bearing
Conclusion
Identify the underlying deformity of the foot in atraumatic Lisfranc osteoarthritis
pes planovalgus with peritalar subluxation / Lisfranc subluxation
hallux valgus or skew foot deformities
hallux valgus with pes planovalgus
pes cavus
in-situ without deformities
postraumatic osteoarthritis
rheumatoid arthritis
neuro-osteo-arthropathy
Arthrex Implants
Lapidus Plate
Lisfranc Plate
Arthrex Headless Compression Screws
Quickfix Cannulated Screws 2.4, 3.0, 4.0mm
Compression Staples
Double Compression Plate
Calcaneus StepPlate
H-Plate (Evans)
contact:
Dr. med. Christian Kinast
ORTHOPEDIC CENTER ARABELLAPARK MUNICH
Englschalkinger Str. 12 / 3rd floor
D-81925 Munich
T: +49 89 / 9 99 09 78 – 0
F: +49 89 / 9 99 09 78 – 77
E: [email protected]
I: www.oza-m.de
facebook: www.facebook.com/oza.muenchen
Foot and Ankle II (Live surgical, scientific discussions, meet the experts):
“Trauma of the Lower Extremity”: Osteoarthritis of the Lisfranc Joints
Associated foot deformities with atraumatic Lisfranc osteoarthritis
pes planovalgus
hallux valgus or skew foot deformities
hallux valgus with pes planovalgus
pes cavus
in-situ without deformities
Secondary flatfoot due to short metatarsus and secondary Lisfranc osteoarthitis
Lisfranc correction arthrodesis TKA total knee arthroplasty
Atraumatic Lisfranc osteoarthritis with hypermobile metatarsus primus varus
MRI helps to visualise the extent of arthritic changes
Arthrex Mini Joint Distractor
Distraction of the Lisfranc joint
Bonesaving preparation for the arthrodesis
Lapidus Plate; Quickfix Can. Screws 4.0, 3.0, 2.4 mm; Double-Compression Plate
Double Compression Plate
bonegrafting from calcaneus
Double Compression Plates
Double compression due to
oblong hole
manual bending of middle portion
3.5 mm locking and non-locking screws
2, 3 and 4 holes
20, 25 und 30 mm lengths
Lisfranc Plates
3 locking holes, 1 compression hole
Compression along the lisfranc ligament
CT allow visualization of lisfranc joint during healing process
3 Sizes: Small, Medium, Large
QuickFix Cannulated Screws + Lisfranc Plate
Lapidus Plate + Compression Staples
Flatfoot with peritalar subluxation and Lisfranc atraumatic subluxation
Calcaneus Step-Plate; H-Plate Plate (Evans); Headless Compression Screw
Lisfranc Arthrodesis Rehabilitation
2 weeks valved cast 4 - 6 weeks closed cast
Week 7 – 10 increased weight baring
CT scan week 10 - 12 ( difficult to read )
Week 11-12 full weight bearing
Conclusion
Identify the underlying deformity of the foot in atraumatic Lisfranc osteoarthritis
pes planovalgus with peritalar subluxation / Lisfranc subluxation
hallux valgus or skew foot deformities
hallux valgus with pes planovalgus
pes cavus
in-situ without deformities
postraumatic osteoarthritis
rheumatoid arthritis
neuro-osteo-arthropathy
Arthrex Implants
Lapidus Plate
Lisfranc Plate
Arthrex Headless Compression Screws
Quickfix Cannulated Screws 2.4, 3.0, 4.0mm
Compression Staples
Double Compression Plate
Calcaneus StepPlate
H-Plate (Evans)
contact:
Dr. med. Christian Kinast
ORTHOPEDIC CENTER ARABELLAPARK MUNICH
Englschalkinger Str. 12 / 3rd floor
D-81925 Munich
T: +49 89 / 9 99 09 78 – 0
F: +49 89 / 9 99 09 78 – 77
E: [email protected]
I: www.oza-m.de
facebook: www.facebook.com/oza.muenchen
Welcome message from author
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
Osteoarthritis of the Lisfranc Joint
Christian KinastMunic Germany
Associated foot deformities with atraumatic Lisfranc osteoarthritis
pes planovalgus hallux valgus or skew foot deformities hallux valgus with pes planovalgus pes cavus in-situ without deformities
Foot Ankle Int 2007 28: 482Hong Geun Jung, Mark S. Myerson and Lew C. SchonSpectrum of Operative Treatments and Clinical Outcomes for Atraumatic Osteoarthritis of the Tarsometatarsal Joints
Secondary flatfoot due to short metatarsus and secondary Lisfranc osteoarthitis
ST. I
Lisfranc correction arthrodesis TKA
59 y fem playing badminton again
ST.I
Atraumatic Lisfranc osteoarthritiswith hypermobile metatarsus primus varus
MRI helps to visualise the extent of arthritic changes
Arthrex Mini Joint Distractor
• Distraction of the Lisfranc joint • Bonesaving preparation for the arthrodesis
Lapidus Plate; Quickfix Can. Screws 4.0, 3.0, 2.4 mm; Double-Compression Plate
bonegraftingfrom calcaneus
Double Compression Plate
Double Compression Plates
• Double compression due to - oblong hole- manual bending of middle portion
• 3.5 mm locking and non-locking screws• 2, 3 and 4 holes• 20, 25 und 30 mm lengths
Lisfranc Plates
• 3 locking holes, 1 compression hole• Compression along the lisfranc lig.• Allow visualization of lisfranc joint
during healing process • 3 Sizes: Small, Medium, Large
QuickFix Cannulated Screws + Lisfranc Plate
Hö.A
Lapidus Plate + Compression Staples
CT control
Ha.E
Flatfoot with peritalar subluxation and Lisfranc atraumatic subluxationCalcaneus StepPlate; H-Plate Plate (Evans); Headless Compression Screw
Lisfranc Arthrodesis Rehabilitation
2 weeks valved cast 4 - 6 weeks closed cast Week 7 – 10 increased weight baring CT scan week 10 - 12 ( difficult to read ) Week 11-12 full weight bearing
Conclusion
Identify the underlying deformity of the foot in atraumatic Lisfranc osteoarthritis
pes planovalgus with peritalar subluxation / Lisfranc subluxation hallux valgus or skew foot deformities hallux valgus with pes planovalgus pes cavus in-situ without deformities postraumatic osteoarthritis rheumatoid arthritis neuro-osteo-arthropathy
Arthrex Implants
Lapidus Plate Lisfranc Plate Arthrex Headless Compression Screws Quickfix Cannulated Screws 2.4, 3.0, 4.0mm Compression Staples Double Compression Plate Calcaneus StepPlate H-Plate (Evans)
Thank you for your attention.
Any questions?
Dispositifs médicaux, consultez les notices d’utilisation pour plus d’informations. For more information on these medical devices, please see instructions for use.
Related Documents
