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For a very long time, forefoot surgical procedure had many hazards together with a painful postoperative interval and recurrence of deformities. New ideas – significantly shawl, the 1st metatarsal osteotomy and the Weil osteotomy of the lesser metatarsal – offer an important development within the remedy of static forefoot issues. the nice toe osteotomy has additionally been significantly more advantageous. due to the fact 1991, the writer has brought those ideas in lots of nations, whereas constructing and learning the corresponding implants and the postoperative interval. He has additionally constructed surgical administration suggestions that bridge those diverse osteotomies. greater than one thousand surgeons all over the world are utilizing those recommendations, that are now commonly taught. during this moment version of the booklet the overall presentation is clearer and extra friendly and plenty of photographs were changed. numerous themes are emphasised, significantly the nice toe proximal phalanx osteotomy, the joint preservative surgical procedure in serious forefoot issues, together with revision after failed bunionectomy and rheumatoid forefoot following the "ms” element for a correct and powerful metatarsal shortening. finally, new systems are uncovered, rather in Claw toe and hammer with the PIP plantar liberate and the surgical procedure of the center phalanx and likewise the Weil osteotomy of the 1st metatarsal in hallux limitus.

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