Journal: Orthopaedic Journal of Sports Medicine
Article Title: Arthroscopic Repair of Chronic Plantar Plate Tears of the First Metatarsophalangeal Joint: A New Surgical Technique With Patient Outcomes
doi: 10.1177/23259671221137558
Figure Lengend Snippet: Illustrations of the suture passing through the plantar plate and the bone tunnels in the proximal phalanx. (A) The suture introducer enters the joint through the medial portal and passes through the plantar plate. (B) A loop wire passes through the suture introducer and is loaded with the suture. (C) The suture introducer is removed and leaves the suture in the plantar plate. (D) Bone tunnels are made in the proximal phalanx. (E) With a loop wire, the suture is led through the bone tunnels in the proximal phalanx. (F) The suture then passes through a bone tunnel in the proximal phalanx, through the plantar plate, and back through a second bone tunnel in the proximal phalanx.
Article Snippet: A suture introducer, loaded with a loop wire (suture passing wire; Arthrex), was passed through the direct medial portal to puncture down and up in the plantar plate from medial to lateral ( Figure 5A ).
Techniques: