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plantar plate tear remedy??

Posted by audreytwo @audreytwo, Jun 20, 2023

Has anyone had experience with surgery or any other remedy or therapy for plantar plate tear. My Orthopedist Dr. says if I don't get surgery the second toe (which has a plantar plate tear) will tear the next one and down on the line to all of them.?

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Mentor
John, Volunteer Mentor | @johnbishop | Jun 20, 2023

Hi @audreytwo, I think I might get a second opinion if it were me and I had concerns on the need of surgery. Here's a fairly recent article from Dec 2022 that talks about the procedure and another on therapy that might be helpful while you wait for others with experience to respond.

--- Arthroscopic Repair of Chronic Plantar Plate Tears of the First Metatarsophalangeal Joint: A New Surgical Technique With Patient Outcomes: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9793050/.
--- Current Best Practices In The Treatment Of Plantar Plate Tears: https://www.hmpgloballearningnetwork.com/site/podiatry/current-best-practices-treatment-plantar-plate-tears.

Did you discuss any non-surgical treatments with you orthopedist?

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1 reply
audreytwo | @audreytwo | Jun 27, 2023
In reply to @johnbishop "Hi @audreytwo, I think I might get a second opinion if it were me and I..." + (show)
@johnbishop

Hi @audreytwo, I think I might get a second opinion if it were me and I had concerns on the need of surgery. Here's a fairly recent article from Dec 2022 that talks about the procedure and another on therapy that might be helpful while you wait for others with experience to respond.

--- Arthroscopic Repair of Chronic Plantar Plate Tears of the First Metatarsophalangeal Joint: A New Surgical Technique With Patient Outcomes: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9793050/.
--- Current Best Practices In The Treatment Of Plantar Plate Tears: https://www.hmpgloballearningnetwork.com/site/podiatry/current-best-practices-treatment-plantar-plate-tears.

Did you discuss any non-surgical treatments with you orthopedist?

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Thank you very much; that is so helpful and hopeful. He said there were no other options and if I didn't have the surgery, the toe that is torn would tear the one next to it and so on down the line until I was crippled. At 76, I didn't think I could be the 6 weeks no weight bearing so I am wearing Zentoes in hopes that that will prevent further tearing. (so far so good). Thanks so much for those excellent references and your time.

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