Metatarsal head resection
Indications:
• severe osteoarthritis or rheumatoid dislocation of metatarsal heads; painful plantar callostion
Technique:
• dorsal 4-5cm incisions between met heads
• retract extensor mechanism to explore neck
• resect neck with saw blade
• McGlamry retractor used to remove fragment- may do partial proximal phalangestomy
Long term complications:
• recurrence
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