First MTP (Big toe) fusion - A high speed 5mm burr

first 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 - A high speed 5mm burr
Using a De Soutter high speed 5mm burr (1) the base of the proximal phalynx is taken back to healthy subchondral bone. The surface should be left concave to allow congruent positioning with the convex metatarsal head. Care should be exercised at the most plantar aspect to avoid damage to the flexor apparatus (2).