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  1. 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:

  2. Dorsal approach to the proximal phalanx. Read more! Connect with peers, learn from experts. Dec 1–12, 2024.

  3. A dorsal-based wedge osteotomy within proximal phalanx realigns the toe and reduces the hallux equinus (7,48-53). A separate category of phalangeal osteotomies approaches the problem from the concept of joint decompression (6,10,30,47,54).

  4. 13 mar 2020 · First metatarsophalangeal (MTP) joint osteoarthritis (OA) is a common and painful problem that causes significant disability. There is limited research on assessment and treatment options, and the efficacy of current management strategies is unknown.

  5. 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. It can be achieved through different techniques.

  6. 6 lip 2023 · First metatarsophalangeal joint (MPJ) arthrodesis has a high degree of utility as the primary surgical option in the treatment of first ray pathologic condition and can be used as a salvage option for failed first ray procedures.

  7. If the metatarsal phalangeal joint is to be exposed, the incision is performed medial to the EHL tendon, between the branches of the deep peroneal nerve, the superficial peroneal nerve, and the saphenous nerves. If needed, it can be extended proximally up to and across the first TMT joint.

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