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Plantar plate reconstruction surgery is a procedure that involves repairing or reconstructing a ligament-like structure located beneath the ball of the foot called the plantar plate. The plantar plate is a thick band of tissue that connects the metatarsal bones to the toes and provides stability and support to the ball of the foot. Damage to the plantar plate can result in pain, instability, and even deformity of the toes.
A plantar plate reconstruction is typically recommended for patients with a plantar plate tear or rupture that causes pain and instability in the ball of the foot. This condition is often seen in athletes and individuals who engage in activities that involve jumping or running. It may also occur in individuals with flat feet, high arches, or other foot deformities.
The surgical procedure
The plantar plate reconstruction surgery involves the following steps:
Anesthesia: The patient is given anesthesia to ensure that they are comfortable and pain-free throughout the surgery.
Incision: The surgeon makes an incision over the ball of the foot to access the plantar plate.
Repair or reconstruction of the plantar plate: The surgeon may either repair the damaged plantar plate by sewing the torn ends together or reconstruct the plantar plate using a graft from another part of the body or a donor tissue.
Fixation: The surgeon may use pins, screws, or other fixation devices to hold the repaired or reconstructed plantar plate in place.
Closing the incision: Once the plantar plate has been repaired or reconstructed, the surgeon closes the incision with sutures or staples.
After the surgery, patients will typically need to wear a special boot or cast to protect the foot and allow it to heal properly. Physiotherapy may also be recommended to help restore strength and flexibility to the foot and prevent future injuries.
Potential surgical risks
Potential risks of plantar plate reconstruction surgery may include:
Infection: There is a risk of infection with any surgery, which can cause delayed healing and may require antibiotics or further surgical intervention.
Blood clots: Blood clots may form in the legs after surgery, which can be dangerous if they travel to the lungs.
Nerve damage: Nerves around the midfoot can be damaged during surgery, leading to numbness or weakness.
Non-union: In some cases, the bones may not fuse together properly, leading to continued pain and the need for additional surgery.
Hardware failure: The metal plates or screws used to fixate the bones may break or loosen over time, requiring additional surgery.
Pain: Although midfoot fusion surgery is intended to relieve pain, there may be residual pain or discomfort following the procedure.
It is important to discuss the potential risks and benefits of plantar plate reconstruction surgery with Dr Singh before deciding if it is the right treatment option for you.
