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  1. 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

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

  4. 13 kwi 2021 · First metatarsophalangeal (MTP) joint arthrodesis is a surgical procedure in which the first metatarsal head is fused to the proximal phalanx of the great toe in order to permanently...

  5. 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. 18 lip 2021 · Abstract. Arthrodesis of the first metatarsophalangeal (MTP) joint has been established as the "gold standard" for the treatment of several first ray disorders, due to its perceived efficacy...

  7. 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.

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