Journal of Korean Foot and Ankle Society

Indexed in /covered by CAS, KoreaScience & DOI/Crossref:eISSN 2288-8551   pISSN 1738-3757

Fig. 3.

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Fig. 3. (A) The 1st osteotomy was made at the lower margin of the lesion, through the head to the neck of metatarsal bone nearly horizontal to the plantar surface. (B) At the upper margin of the dorsal lesion, the second osteotomy was made and the wedge shape lesion (shaded area) was removed (curved arrow). Also, the unconstrained distal fragment was moved to the proximally (straight arrow). (C) The unconstrained head fragment was migrated to the proximal until the soft tissue tension was relaxed enough, and the overlapping area (shaded area) was resected at the level of proximally migrated cutting margin of the articular surface (curved arrow). (D) After resecting the overlapping area, the head fragment was moved to proximal and downward. To elevate the head and to obtain wide and stable osteotomy surface, the second layer cutting was done. (E) Using twist off screw, two osteotomized fragments were fixed securely. The shortened metatarsal bone and elevated metatarsal head was seen.
J Korean Foot Ankle Soc 2021;25:165-70 https://doi.org/10.14193/jkfas.2021.25.4.165
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