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| Pre-operative picture | Incision for lateral soft tissue release | The completed release showing the !st MTP joint open(arrow). |
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| The approach for the metatarsal ostetomy | The metatarsal exposed. The area of the "bunion" is seen to the right of the picture | Removing the prominent bone from the MTP joint |
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| The first of the three cuts of the Scarf osteotomy. The metatarsal joint is open and marked with an arrow | The completed Scarf osteotomy (note its "z shaped" profile) | The completed osteotomy |
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| The osteotomy following displacement, to narrow the front of the foot | Fixation of the displaced osteotomy with the guide wire for the Barouk screw | The screw being "driven home" |
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| The second more proximal screw being inserted | Trimming the excess overhanging bone with a saw | The bone trimmed flush at the metatarsal head |
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| The sutured wounds | | The corrected foot |
