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Emerging insights on the trephine arthrodesis

from Podiatry Today

Trephine arthrodesis in foot surgery is nothing new but for some reason, foot surgeons rarely consider it. Surgeons can utilize trephine arthrodesis for many of the joints in the foot, including but not limited to the subtalar joint, tarsometatarsal joints, intercuneiform joints and the naviculocuneiform joint. In my experience, arthrodesis of the second and third tarsometatarsal joints is the primary procedure for which I will choose a trephine arthrodesis technique. While the main focus of this article will be the use of the trephine arthrodesis for tarsometatarsal joint arthrodesis, the concepts and techniques with the trephine arthrodesis are similar regardless of the joint(s) you are fusing. more

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