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

First MTP(Big toe) fusion
-The capsule is then exposed
Identify the fascial layer beneath the fat in which the dorsomedial cutaneous nerve sits(2) by blunt dissection. Once identified reflect this whole layer dorsally by sharp dissection. The capsule is then exposed(1) .