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Dorsal approach to the 1st metatarsal phalangeal joint (MTPJ) 1. Indications. This approach is helpful for tendon injuries and ORIF of the distal metatarsal, irreducible first MTP dislocations, and proximal phalanx fractures. 2. Anatomy. The primary structures at risk during this approach:
- All approaches to the metatarsals
Dorsal approach to the proximal phalanx. Read more! Connect...
- All approaches to the metatarsals
The first metatarsophalangeal joint (MTPJ) and the distal first metatarsal can be exposed from several approaches. The dorsal-medial approach is the most widespread technique taught for first MTPJ exposure. The Comprehensive Textbook of Foot Surgery (2) advocates the "universal" dorsal-medial approach to allow full
4 paź 2016 · use a rongeur to smooth the the dorsal aspect of the first metatarsal and proximal phalanx to allow the plate to sit flush on the bone. place bicortical self-tapping screws to fix the plate to the metatarsal. use locking screws in the instance of osteopenic bone.
Dorsal approach to the proximal phalanx. Read more! Connect with peers, learn from experts. Dec 1–12, 2024.
26 kwi 2022 · First metatarsophalangeal joint (FMPJ) arthrodesis is a commonly performed procedure for symptomatic end-stage hallux rigidus (grades 3 and 4) [1, 2]. The procedure can also be considered in selected cases of severe hallux abducto valgus (HAV) deformity associated with degenerative joint disease and as a salvage option for previously failed ...
6 cze 2021 · First metatarsophalangeal joint (MTPJ) fusion is the most effective technique for the treatment of MTPJ primary arthritis, severe hallux valgus and failure of primary corrective surgery of these conditions.
Resection arthroplasty varies from excision of only the proximal phalangeal base with cheilectomy of the first metatarsal head to resection on both sides of the joint (38,39,47,56-60). The choice of procedure must be tailored to the age and the biomechanical demands of the particular patient.
