Entitled Infected mp1 Fusion in Neuropathic Patients
2Foot and Ankle, Bnei Zion Medical Center, Israel
The infected mp1 joint is a difficult clinical problem since the patient walks on an open wound. The stability is difficult to achieve. The fixation should allow both properties invasion proper disinfection and encourage the fusion.
Materials and Methods:
We report of cohort of five patients ; two treated with horizontal osteotomies and shortening in order to acheave. proper fusion. This way the forces on walking improve the fusion process. shortening is imperative and substantial ( 2 cm ).
The other three patients where treated with debridement, bone alive or bioglass injection and external fixators. The time for fusion is usually 3 months under constant out clinic supervision.
Since this problem is common and difficult to treat it is very important to in-count these five successful cases.