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| The medial incision to the joint | Avoiding the cutaneous nerve. | The joint exposed. |
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| Close up of the arthritic joint. The "bare bone" of the metatarsal head (1), the dorsal spur/ shelf of additional arthritic bone (2) and the proximal phalynx(3) are all visable. | The arthritic joint. | The healthy bone beneath the arthritic surface has been exposed. |
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| Close up of prepared joint surface. | Insertion of the second screw across the joint ,to stabilise and compress . The first screw ,already in place , is labelled 1. | The second screw fully inserted. |
