{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T14:50:29Z","timestamp":1784127029743,"version":"3.55.0"},"reference-count":17,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2021,8,5]],"date-time":"2021-08-05T00:00:00Z","timestamp":1628121600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Foot Ankle Int."],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Tarsometatarsal (TMT) arthrodesis is a common operative procedure for end-stage arthritis of the TMT joints. To date, there is no consensus on the best fixation technique for TMT arthrodesis and which joints should be included.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Thirty fresh-frozen feet were divided into one group (15 feet) in which TMT joints I-III were fused with a lag screw and locking plate and a second group (15 feet) in which TMT joints I-III were fused with 2 crossing lag screws. The arthrodesis was performed stepwise with evaluation of mobility between the metatarsal and cuneiform bones after every application or removal of a lag screw or locking plate.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Isolated lag-screw arthrodesis of the TMT I-III joints led to significantly increased stability in every joint ( P &lt; .05). Additional application of a locking plate caused further stability in every TMT joint ( P &lt; .05). An additional crossed lag screw did not significantly increase rigidity of the TMT II and III joints ( P &gt; .05). An IM screw did not influence the stability of the fused TMT joints. For TMT III arthrodesis, lag-screw and locking plate constructs were superior to crossed lag-screw fixation ( P &lt; .05). TMT I fusion does not support stability after TMT II and III arthrodesis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Each fixation technique provided sufficient stabilization of the TMT joints. Use of a lag screw plus locking plate might be superior to crossed screw fixation. An additional TMT I and\/or III arthrodesis did not increase stability of an isolated TMT II arthrodesis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Relevance:<\/jats:title>\n                    <jats:p>We report the first biomechanical evaluation of TMT I-III arthrodesis. Our results may help surgeons to choose among osteosynthesis techniques and which joints to include in performing arthrodesis of TMT I-III joints.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10711007211033541","type":"journal-article","created":{"date-parts":[[2021,8,5]],"date-time":"2021-08-05T09:04:47Z","timestamp":1628154287000},"page":"77-85","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["Biomechanical Evaluation of Tarsometatarsal Fusion Comparing Crossing Lag Screws and Lag Screw With Locking Plate"],"prefix":"10.1177","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6013-3417","authenticated-orcid":false,"given":"Sarah","family":"Ettinger","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery, Hannover Medical School at Diakovere Annastift, Hannover, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa-Christin","family":"Hemmersbach","sequence":"additional","affiliation":[{"name":"Hannover Medical School, Hannover, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Schwarze","sequence":"additional","affiliation":[{"name":"Laboratory for Biomechanics and Biomaterials, Hannover Medical School, Hannover, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christina","family":"Stukenborg-Colsman","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Hannover Medical School at Diakovere Annastift, Hannover, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1485-6611","authenticated-orcid":false,"given":"Daiwei","family":"Yao","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Hannover Medical School at Diakovere Annastift, Hannover, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0568-2074","authenticated-orcid":false,"given":"Christian","family":"Plaass","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Hannover Medical School at Diakovere Annastift, Hannover, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5212-9744","authenticated-orcid":false,"given":"Leif","family":"Claassen","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Hannover Medical School at Diakovere Annastift, Hannover, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2021,8,5]]},"reference":[{"key":"bibr1-10711007211033541","doi-asserted-by":"publisher","DOI":"10.1177\/107110070502600607"},{"key":"bibr2-10711007211033541","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2017.01.012"},{"key":"bibr3-10711007211033541","doi-asserted-by":"publisher","DOI":"10.1177\/1071100718793567"},{"key":"bibr4-10711007211033541","doi-asserted-by":"publisher","DOI":"10.3113\/FAI.2011.0158"},{"key":"bibr5-10711007211033541","doi-asserted-by":"publisher","DOI":"10.1177\/1071100720980014"},{"key":"bibr6-10711007211033541","doi-asserted-by":"publisher","DOI":"10.1016\/j.fas.2015.04.004"},{"key":"bibr7-10711007211033541","doi-asserted-by":"publisher","DOI":"10.1016\/j.fas.2013.05.002"},{"key":"bibr8-10711007211033541","doi-asserted-by":"publisher","DOI":"10.3113\/FAI.2011.1081"},{"key":"bibr9-10711007211033541","doi-asserted-by":"publisher","DOI":"10.1016\/j.fas.2020.12.008."},{"key":"bibr10-10711007211033541","doi-asserted-by":"publisher","DOI":"10.1177\/1071100719895268"},{"key":"bibr11-10711007211033541","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199609000-00013"},{"key":"bibr12-10711007211033541","doi-asserted-by":"publisher","DOI":"10.1177\/107110079801900801"},{"key":"bibr13-10711007211033541","doi-asserted-by":"publisher","DOI":"10.3113\/FAI.2011.0355"},{"key":"bibr14-10711007211033541","doi-asserted-by":"publisher","DOI":"10.1177\/1071100712464210"},{"key":"bibr15-10711007211033541","doi-asserted-by":"publisher","DOI":"10.1177\/1071100714547082"},{"key":"bibr16-10711007211033541","doi-asserted-by":"publisher","DOI":"10.3113\/FAI.2009.0341"},{"key":"bibr17-10711007211033541","doi-asserted-by":"publisher","DOI":"10.1016\/j.fcl.2010.12.004"}],"container-title":["Foot &amp; 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