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DPM,MA
Pan Pedal Stabilization
Section:  Surgery

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Comments and critiques welcomed. Above is presented a Pan Pedal Stabilization in a 50 yo female with Eichenholtz I changes.

 

Is anyone else out there doing these yet?

 

What are you using for your beaming screws?

MEMBER COMMENTS
RE:

Nice work! what screws did you use here?  In our charcot recon's we generally use a combination of internal and external fixation, although i'm always looking for new ideas!

Re: Pan Pedal Stabilization

 


Picture 3

 

 

 

 

 

 

 

 

 

 

The screws you see are as follows:

 

 

The 1st ray beaming screw is a 120mm x 7.5mm fully threaded, headless, cannulated, positional screw.

 

 

The 2nd ray beaming screw is an 80mm x 5.5mm fully threaded, headless, cannulated, positional screw.

 

 

The 1st and 2nd ray screws are completely intramedullary as they should be using this technique for the most solid construct. The two most lateral screws were inserted using compromised technique, and are not truly beaming screws by strict definition.

 

 

The 3rd and 4th ray screws are 80mm x 5.5mm fully threaded, headless, cannulated, positional screws.

 

 

This particular screw system is made by Integra Lifesciences.

 

 

The subtalar arthroeresis is "OVERSTUFFED" by design. It is a Hyprocure size 10. It effectively reduced the Meary and Kite angles allowing for anatomic placement of the medial column beaming screws.

 

 

It is worth noting, an EGR was performed first, prior to delivering the hardware. Elimination of gastroc equinus first allows for easier reduction and realignment of the foot during surgery, in addition to the long term benefit afforded to the patient.