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

  2. 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:

  3. 1. Indications. The dorsal approach to the first metatarsal is used to access the entire 1st metatarsal. 2. Anatomy. Important, relevant anatomical structures are: The extensor hallucis brevis and longus. The deep peroneal nerve and its branches. The dorsalis pedis artery. The dorsomedial cutaneous nerve of the hallux.

  4. 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.

  5. 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.

  6. 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.

  7. This article discusses principles of technique with an emphasis on the procedure to prepare a successful first metatarsal phalangeal joint (MTPJ) arthrodesis. The pearls and pitfalls within this article expound on technical nuances including those associated with fixation devices.

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