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  1. 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: The superficial peroneal nerve and digital artery are located dorsomedially at the medial metatarsal.

  2. 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.

  3. 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.

  4. DesensiJzaJon is a treatment to decrease sensiJvity by exposing the area to various textures and pressures. Once your incision is healed, you may begin exercises as recommended by your therapist. Exercises. 1. Rub the sensiJve area with fabrics of various textures. Begin with soOer fabrics and progress to fabrics that are rougher.

  5. 13 mar 2020 · Before designing clinical trials to evaluate treatments for first MTP joint OA, a logical first step is to identify assessment and treatment management strategies used by the health professionals to which patients most commonly consult.

  6. 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].

  7. 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.