CME OnDemand: 2022 AOFAS Annual Meeting-Sesamoidectomy for Autografting in First Metatarsophalangeal Joint Arthrodesis

Pdf Summary

First metatarsophalangeal (MTP) joint arthrodesis is a surgical procedure used to treat various foot conditions. In complex cases of this procedure, where fusion rates may be low, bone grafting can be necessary to improve outcomes. <br /><br />A recent study conducted by authors from The University of Arizona College of Medicine – Phoenix and OrthoArizona explores the use of sesamoidectomy grafting as a form of autografting for first MTP arthrodesis. Autografting involves using a patient's own tissue for the graft, in this case, the medial sesamoid bones. <br /><br />The researchers found that sesamoidectomy grafting is a cost-effective and successful method for more complex cases of first MTP arthrodesis. This approach is less invasive and readily available, making it an attractive option for surgeons. <br /><br />The indications for sesamoidectomy grafting include cases where there are revisions needed or severe bone loss. By removing the medial sesamoid bones and using them as a graft, the surgeons can promote fusion and stabilization of the first MTP joint. <br /><br />Not only is sesamoidectomy grafting a viable alternative to other bone grafting techniques, but it also provides additional benefits. It is cost-effective because it uses the patient's own tissue, eliminating the need for additional resources or donor materials. Additionally, it is a less invasive procedure, minimizing the risks and complications associated with more extensive grafting procedures. <br /><br />In conclusion, sesamoidectomy grafting is a successful and cost-effective technique for autografting in complex cases of first MTP joint arthrodesis. By utilizing the medial sesamoid bones, surgeons can improve fusion rates and stabilize the joint. Further research and studies are needed to validate the long-term success and effectiveness of this technique.

Asset Subtitle

Aaron Tran, BS, Brennan Enright, Rachel Reichenbach, Jordan Henderson, David E. Jaffe, MD

Keywords

first metatarsophalangeal joint arthrodesis

foot conditions

surgical procedure

bone grafting

sesamoidectomy grafting

autografting

medial sesamoid bones

fusion rates

cost-effective

less invasive