Michael A Thomas¹*, Hinal K Patel² and Jeffrey M Belancio³

¹Department of Orthopedics - Foot and Ankle Surgery, International Center for Limb Lengthening, Rubin Institute for Advanced Orthopedics, Sinai Hospital of Baltimore, Baltimore, MD, USA
²Department of Foot and Ankle Surgery, Delaware Podiatric Medicine, Dover, DE, USA
³Department of Foot and Ankle Surgery, Inspira Health Network, Vineland, NJ, USA

*Corresponding Author: Michael A Thomas, Department of Orthopedics - Foot and Ankle Surgery, International Center for Limb Lengthening, Rubin Institute for Advanced Orthopedics, Sinai Hospital of Baltimore, Baltimore, MD, USA.

Received: May 20, 2022; Published: June 17, 2022

Abstract

The first metatarsophalangeal joint and tibiotalar joint account for the majority of foot and ankle septic arthritis cases which have an incidence of about 3-7%. Typical treatment of the first metatarsophalangeal joint septic arthritis consists of serial needle aspirations with irrigation or an open arthrotomy approach. Both of these treatment options can have complications such as, articular cartilage damage or wound healing complications, respectively. This case study discusses a 70-year-old diabetic male patient, who is high risk for wound complications that had septic arthritis of the first metatarsophalangeal joint. Here an uncommon treatment option was performed utilizing a minimally invasive approach via arthroscopy for debridement of septic arthritis due to the patient’s comorbidities and to reduce postoperative complications. The patient was subsequently followed for 1-year post operatively and was noted to have complete range of motion restored to the first metatarsophalangeal joint, no recurring signs of infections and no pain. This report and technique guide shows how an arthroscopic approach for the treatment of septic arthritis in a small joint such as the first metatarsophalangeal joint, can be a viable treatment option especially as minimally invasive surgery is becoming more prevalent around the globe.

Keywords: Arthroscopy; Diabetic; Puncture Wound; Small Joint; Synovitis

References

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Citation

Citation: Michael A Thomas., et al. “Arthroscopic Minimally Invasive Surgery for Septic Arthritis of the First Metatarsophalangeal Joint: A Case Report".Acta Scientific Orthopaedics 5.7 (2022): 107-112.

Copyright

Copyright: © 2022 Michael A Thomas., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.