Metatarsophalangeal Joint Instability Etiology Deformity of the lesser toes, particularly of the second toe, sometimes is related to instability of the metatarsophalangeal joint. This disorder, which ranges in severity from synovitis of the metatarsophalangeal joint to dislocation and chronic deformity…
Hallux Valgus (Bunion) Hallux valgus (lateral deviation of the great toe) is not a single disorder, as the name implies, but a complex deformity of the first ray that frequently is accompanied by deformity and symptoms in the lesser toes.…
Ankle Arthroscopy The most common current indications for ankle arthroscopy include soft-tissue or bony impingement and treatment of osteochondral lesions of the talus. These patients often have continuing ankle pain after injuries such as sprains that have not responded to…
Although many orthopaedic surgeons abandoned ankle arthroplasty because of high failure and complication rates, the continued search for alternatives to ankle arthrodesis for ankle arthritis has led to a renewal of interest. The development of contemporary designs more biomechanically compatible…
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There has been a growing interest in minimally invasive techniques for hallux valgus surgery, including large patient series. Although some authors have reported mixed or less than favorable results in the past, most now report satisfactory results with the percutaneous…
See also Video 44.1 . Modified chevron distal metatarsal osteotomy The modified chevron osteotomy is simply a more proximal placement of the apex of the osteotomy in the metatarsal head. Potential problems of this modification of the chevron osteotomy are…
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