Abstract
The plantar plate is a major structure that maintains metatarsophalangeal joint (MTPJ)
stability and has only recently gained attention. Anatomic plantar plate repair can
directly address the pathologic entity, rather than relying on indirect reduction
of the MTPJ instability by osteotomy or tendon transfer techniques. The present report
aimed to determine the effectiveness of plantar plate repair for the treatment of
patients with lesser MTPJ instability. Different databases were searched using the
guidelines in the Cochrane Handbook and recommendations from the Preferred Reporting
Items for Systematic reviews and Meta-Analysis statement. Six case series, describing
162 patients who had undergone plantar plate repair in conjunction with either Weil
osteotomy or flexor digitorum longus transfer, were retrieved. Favorable outcomes
were described in each of the studies included in the present systematic review. However,
these results should be interpreted with caution because of the methodologic limitations
and biases inherent in the included studies. More rigorous clinical investigations
are required to fully understand the effectiveness of plantar plate repair for the management
of lesser MTPJ instability.
Level of Clinical Evidence
Keywords
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Article info
Publication history
Published online: September 08, 2017
Footnotes
Financial Disclosure: None reported.
Conflict of Interest: None reported.
Identification
Copyright
© 2017 by the American College of Foot and Ankle Surgeons. All rights reserved.
