The Foot Surgery Atlas - home pagefirst mtp big toe fusion
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first mtp (big toe) fusion - operative indications
first mtp (big toe) fusion - operative considerations

First MTP(Big toe) fusion-Medial midline skin incision

First MTP (Big toe) fusion - The proximal phalynx dissected

First MTP(Big toe) fusion -Preparation of the proximal phalynx

First MTP (Big toe) fusion - correctly positioned phalynx
First MTP (Big toe) fusion - post operative
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First MTP(Big toe) fusion-Medial midline skin incision

First MTP(Big toe) fusion-Medial midline skin incision
A medial midline skin incision is used . This needs to extend further distally than for a simple metatarsal osteotomy, to the level of the IP Joint(1). Proximally to the mid point of the metatarsal is sufficient. Sharp dissect just through the skin.