{"id":14854,"date":"2018-07-31T11:08:45","date_gmt":"2018-07-31T09:08:45","guid":{"rendered":"https:\/\/www.surgebright.com\/clinical-case-documentations\/tarsometatarsa-tmt-arthrose-2-und-3"},"modified":"2023-07-28T08:34:33","modified_gmt":"2023-07-28T06:34:33","slug":"tarsometatarsa-tmt-arthrosis-2-and-3","status":"publish","type":"page","link":"https:\/\/www.surgebright.com\/en\/case-reports-foot\/tarsometatarsa-tmt-arthrosis-2-and-3","title":{"rendered":"Tarsometatarsal (TMT) Osteoarthritis II and III"},"content":{"rendered":"<div class=\"wpb-content-wrapper\">[vc_row bg_style=&#8221;stretch&#8221; css=&#8221;.vc_custom_1525244122049{margin-bottom: 20px !important;padding-top: 0px !important;}&#8221;][vc_column css=&#8221;.vc_custom_1525241840910{margin-bottom: 0px !important;border-bottom-width: 0px !important;padding-bottom: 0px !important;}&#8221;][vc_column_text text_align=&#8221;left&#8221; color=&#8221;#707070&#8243; width=&#8221;700px&#8221;]\n<p style=\"text-align: justify;\">The case documentation below describes the surgical treatment of tarsometatarsal (TMT) osteoarthritis II and III. The 77-year-old patient has dorsalis pedis stress and rolling pain in the tarsal region. The quality of life is increasingly limited, the walking distance shortened due to pain. After multiple successful infiltrations that provided short-term pain relief, the patient opts for arthrodesis of TMT joints II and III, each with a human bone screw graft. After surgery, the patient was immobilized in a hallux shoe for six weeks.<\/p>\n[\/vc_column_text]<div class=\"vcex-spacing wpex-w-100 wpex-clear\" style=\"height:50px;\"><\/div>[\/vc_column][\/vc_row][vc_row css=&#8221;.vc_custom_1525252295625{padding-bottom: 10px !important;}&#8221;][vc_column width=&#8221;1\/3&#8243;]<figure class=\"vcex-image vcex-module\"><div class=\"vcex-image-inner wpex-relative wpex-inline-block\"><img width=\"450\" height=\"416\" src=\"https:\/\/www.surgebright.com\/wp-content\/uploads\/2018\/07\/tmt-2017-7.jpg\" class=\"vcex-image-img wpex-align-middle\" alt=\"\" loading=\"lazy\" decoding=\"async\" srcset=\"https:\/\/www.surgebright.com\/wp-content\/uploads\/2018\/07\/tmt-2017-7.jpg 450w, https:\/\/www.surgebright.com\/wp-content\/uploads\/2018\/07\/tmt-2017-7-300x277.jpg 300w\" sizes=\"auto, (max-width: 450px) 100vw, 450px\" 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&amp; course<\/strong><br \/>\nAfter imaging the TMT II and III joints under image intensifier control, the joint space is held open with spreading forceps and the remaining articular cartilage is removed with a sharp spoon. The underlying sclerotic bone is tapped with a thin drill. After the two joints can be adjusted well to each other, the KD is placed under image converter control. Additional insertion of a temporary KD for stable fixation of the joints for the time of drilling and tapping. Knochen in diesem Fall extrem weich. The thick graft of 5mm facilitates arthrodesis because the fine thread has a very good hold in the thin bone, which is drilled into almost tangentially. Very stable osteosynthesis. The joint space completely closed. A metallic lag screw would tear out in the soft bone. The pressure exerted on the joint by the surgeon is perfectly sufficient to optimally align the joint surfaces.<\/p>\n<p><strong>Advantages with this surgery<\/strong><br \/>\nno metal, head is placed introperatively at bone level and thus the surrounding soft tissues are spared. Therefore, less pain for the patient. Da der Knochen sehr weich war und gro\u00dfe Zysten aufwies, bestand nach der Transplantation der 5,0mm dicken Shark Screw\u00ae eine sehr verl\u00e4ssliche und stabile Knochenbr\u00fccke. Metal screws and metal plates wear very heavily in this area, arroding the tendons. The hold of metallic screws would have been questionable.<\/p>\n<p><strong>Subjective patient satisfaction<\/strong><br \/>\nPatient had no pain in the postoperative course, full weight-bearing capacity after 6 weeks. Ready-made shoes fit again after 6 weeks. She was so pleased with the initial surgery that she had the second side operated on 3 months later.[\/vc_column_text][\/vc_column][\/vc_row]\n<\/div>","protected":false},"excerpt":{"rendered":"<p>[vc_row bg_style=&#8221;stretch&#8221; css=&#8221;.vc_custom_1525244122049{margin-bottom: 20px !important;padding-top: 0px !important;}&#8221;][vc_column css=&#8221;.vc_custom_1525241840910{margin-bottom: 0px !important;border-bottom-width: 0px !important;padding-bottom: 0px !important;}&#8221;][vc_column_text text_align=&#8221;left&#8221; color=&#8221;#707070&#8243; width=&#8221;700px&#8221;] The case documentation below describes the surgical treatment of tarsometatarsal (TMT) osteoarthritis II and III. The 77-year-old patient has dorsalis pedis stress and rolling pain in the tarsal region. The quality of life is increasingly limited, the walking&hellip;<\/p>\n","protected":false},"author":7,"featured_media":0,"parent":15650,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-14854","page","type-page","status-publish","hentry","entry","no-media"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Tarsometatarsal (TMT) Osteoarthritis II and III - Shark Screw\u00ae<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.surgebright.com\/en\/case-reports-foot\/tarsometatarsa-tmt-arthrosis-2-and-3\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Tarsometatarsal (TMT) Osteoarthritis II and III - Shark Screw\u00ae\" \/>\n<meta property=\"og:description\" content=\"[vc_row bg_style=&#8221;stretch&#8221; css=&#8221;.vc_custom_1525244122049{margin-bottom: 20px !important;padding-top: 0px !important;}&#8221;][vc_column css=&#8221;.vc_custom_1525241840910{margin-bottom: 0px !important;border-bottom-width: 0px !important;padding-bottom: 0px !important;}&#8221;][vc_column_text text_align=&#8221;left&#8221; color=&#8221;#707070&#8243; width=&#8221;700px&#8221;] The case documentation below describes the surgical treatment of tarsometatarsal (TMT) osteoarthritis II and III. The 77-year-old patient has dorsalis pedis stress and rolling pain in the tarsal region. The quality of life is increasingly limited, the walking&hellip;\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.surgebright.com\/en\/case-reports-foot\/tarsometatarsa-tmt-arthrosis-2-and-3\" \/>\n<meta property=\"og:site_name\" content=\"Shark Screw\u00ae\" \/>\n<meta property=\"article:modified_time\" content=\"2023-07-28T06:34:33+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"3 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.surgebright.com\\\/en\\\/case-reports-foot\\\/tarsometatarsa-tmt-arthrosis-2-and-3\",\"url\":\"https:\\\/\\\/www.surgebright.com\\\/en\\\/case-reports-foot\\\/tarsometatarsa-tmt-arthrosis-2-and-3\",\"name\":\"Tarsometatarsal (TMT) Osteoarthritis II and III - Shark Screw\u00ae\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.surgebright.com\\\/en#website\"},\"datePublished\":\"2018-07-31T09:08:45+00:00\",\"dateModified\":\"2023-07-28T06:34:33+00:00\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/www.surgebright.com\\\/en\\\/case-reports-foot\\\/tarsometatarsa-tmt-arthrosis-2-and-3#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/www.surgebright.com\\\/en\\\/case-reports-foot\\\/tarsometatarsa-tmt-arthrosis-2-and-3\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/www.surgebright.com\\\/en\\\/case-reports-foot\\\/tarsometatarsa-tmt-arthrosis-2-and-3#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Start page\",\"item\":\"https:\\\/\\\/www.surgebright.com\\\/en\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Case Reports Foot\",\"item\":\"https:\\\/\\\/www.surgebright.com\\\/en\\\/case-reports-foot\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Tarsometatarsal (TMT) Osteoarthritis II and III\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/www.surgebright.com\\\/en#website\",\"url\":\"https:\\\/\\\/www.surgebright.com\\\/en\",\"name\":\"surgebright GmbH\",\"description\":\"Knochentransplantate\",\"publisher\":{\"@id\":\"https:\\\/\\\/www.surgebright.com\\\/en#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/www.surgebright.com\\\/en?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/www.surgebright.com\\\/en#organization\",\"name\":\"surgebright GmbH\",\"url\":\"https:\\\/\\\/www.surgebright.com\\\/en\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/www.surgebright.com\\\/en#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/www.surgebright.com\\\/wp-content\\\/uploads\\\/2023\\\/04\\\/Surgebright_Reinraum0190_HQ-1024x683.png\",\"contentUrl\":\"https:\\\/\\\/www.surgebright.com\\\/wp-content\\\/uploads\\\/2023\\\/04\\\/Surgebright_Reinraum0190_HQ-1024x683.png\",\"width\":1024,\"height\":683,\"caption\":\"surgebright GmbH\"},\"image\":{\"@id\":\"https:\\\/\\\/www.surgebright.com\\\/en#\\\/schema\\\/logo\\\/image\\\/\"},\"sameAs\":[\"https:\\\/\\\/www.linkedin.com\\\/company\\\/surgebright-gmbh\",\"https:\\\/\\\/www.youtube.com\\\/c\\\/surgebright\\\/videos\"]}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Tarsometatarsal (TMT) Osteoarthritis II and III - Shark Screw\u00ae","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.surgebright.com\/en\/case-reports-foot\/tarsometatarsa-tmt-arthrosis-2-and-3","og_locale":"en_US","og_type":"article","og_title":"Tarsometatarsal (TMT) Osteoarthritis II and III - Shark Screw\u00ae","og_description":"[vc_row bg_style=&#8221;stretch&#8221; css=&#8221;.vc_custom_1525244122049{margin-bottom: 20px !important;padding-top: 0px !important;}&#8221;][vc_column css=&#8221;.vc_custom_1525241840910{margin-bottom: 0px !important;border-bottom-width: 0px !important;padding-bottom: 0px !important;}&#8221;][vc_column_text text_align=&#8221;left&#8221; color=&#8221;#707070&#8243; width=&#8221;700px&#8221;] The case documentation below describes the surgical treatment of tarsometatarsal (TMT) osteoarthritis II and III. 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