Midfoot Arthrodesis: The Grand Rapids Technique
Midfoot arthrodesis is a common surgical procedure for the management of midfoot arthritis, Lisfranc injuries, and metatarsus primus varus with hallux valgus deformity. First tarsometatarsal arthrodesis may be an effective treatment option for the management of a hypermobile first ray in patients with transfer metatarsalgia and patients with fixed forefoot supination who have acquired flatfoot. Midfoot arthrodesis is a technically challenging procedure that has been associated with a high rate of nonunion. This led to the development and regular use of expensive implants, which resulted in varying degrees of success. This video presents a technique that primarily involves the use of inexpensive cortex screws, resulting in a high rate of union and patient satisfaction. The principles of this technique were first described by Sigvard Hansen and were later adapted by Donald Bohay and John Anderson.