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Disorders of the forefoot 

Disorders of the forefoot
Disorders of the forefoot

Andrew H.N. Robinson

and Maneesh Bhatia

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date: 17 May 2022

The aim of modern forefoot surgery is to refunction the first ray, and balance the lesser rays around it

The indications for surgery in hallux valgus are of pain over the bunion, or of pain with subluxation or dislocation of the lesser rays as a result of first ray insufficiency

Hallux valgus surgery aims to reposition the metatarsal head over the sesamoids whilst maintaining length. The osteotomy should be stable to allow early mobilization

The mainstays of the surgical treatment of hallux rigidus are dorsal cheilectomy and fusion of the first MTPJ

96% excellent and good results in reconstruction of the rheumatoid forefoot have been reported with fusion of the first MTPJ and resection of the lesser metatarsal heads.

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