chapt 19: Plantar plate repair

Question 1

what is the normal thickness of plantar plate vs inflammed

Answer 1

2-3 mm ; 4-6 mm and 10 to 12 mm wide medial to lateral.

Question 2

how can plantar fasciotomy can cause HT

Answer 2

Plantar fascia primarily inserts into plantar plate –> and distal end of plantar plate inserts at the base of proximal phalanx.

plantar fasciotomy can cause instability to MPJ which develops into Hammertoe

Question 3

order for surgical approach for HT/ppr

Answer 3

1, Address HT first then do kelikian push up test

2. Extensor tendon lengthening
3. Capsulotomy
4. Plantar plate repair

Question 4

What other deformity/surgical considerations would you need for plantar plate repair

Answer 4

Hallux valgus
HT contracture/MPJ contracture
Long 2nd met