Acta Scientific Orthopaedics (ISSN: 2581-8635)

Case Report Volume 5 Issue 7

Arthroscopic Minimally Invasive Surgery for Septic Arthritis of the First Metatarsophalangeal Joint: A Case Report

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

  1. Watanabe M. “Selfoc-Arthroscope. Watanabe No”. Arthroscope Monograph, Teishin Hospital, Tokyo 24 (1972): 46-53.
  2. Sherman TI., et al. “First Metatarsophalangeal Joint Arthroscopy for Osteochondral Lesions”. Arthroscopy Techniques2 (2016): 513-518.
  3. Ahn JH., et al. “Arthroscopy of the First Metatarsophalangeal Joint in 59 Consecutive Cases”. The Journal of Foot and Ankle Surgery 51 (2012): 161-167.
  4. Yazdi H., et al. “The Effect of Gentamycin in the Irrigating Solution to Prevent Joint Infection after Anterior Cruciate Ligament Reconstruction”. The Archives of Bone and Joint Surgery 7 (2019): 67-74.
  5. Debnath UK., et al. “Indications for and Technique of First MTP Arthroscopy”. Foot and Ankle International 27 (2006): 1049-1054.
  6. Derner R and Naldo J. “Small Joint Arthroscopy of the Foot”. Clinics in Podiatric Medicine and Surgery 28 (2011): 551-560.

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.




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