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MEDICINA E CHIRURGIA DELLA CAVIGLIA E DEL PIEDE

A Journal on Physiopathology and Surgery of the Foot


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Chirurgia del Piede 2010 December;34(3):153-6

language: Italian

Surgical reduction of inveterate dislocation of the intermediate metatarsal-phalangeal joints

Bardelli M., Partescano R.

S.C. Ortopedia e Traumatologia, P.O. Santa Maria Annunziata, ASL10, Firenze


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One of the principal causes of central metatarsalgia is the dislocation of the proximal phalanx of the metatarsophalangeal joints. The surgical treatment various in base to the anatomopathological characteristic. If there is not the deformity of the finger we resort to the reduction of the metatarsal head according to Regnauld. If there is deformity in proximal jaws without alteration of the articular heads the reduction of the dislocation is performed with extension of the apparatus extensor and artrodesis of the proximal interphalangeal joint. When there is incongruity to articulate we perform the bloody reduction of the metatarsophalangeal joint in partnership to the osteotomia of Wolf with dorsal wedge and artrodesis of the proximal interphalangeal joint.

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