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 - Guide wire is placed

First MTP (Big toe) fusion - Guide wire is placed
An initial guide wire is placed across the joint to allow accurate positioning prior to fixation. A DePuy xmm wire from the set is drilled distally and dorsally and angled just lateral of the midline axis of the toe if possible.