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Percutaneous Distal Osteotomy of the Fifth Metatarsal for Correction of Bunionette by Bruno Magnan, Elena Samaila, Manuel Bondi, Ingrid Bonetti, and Pietro.

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Presentation on theme: "Percutaneous Distal Osteotomy of the Fifth Metatarsal for Correction of Bunionette by Bruno Magnan, Elena Samaila, Manuel Bondi, Ingrid Bonetti, and Pietro."— Presentation transcript:

1 Percutaneous Distal Osteotomy of the Fifth Metatarsal for Correction of Bunionette by Bruno Magnan, Elena Samaila, Manuel Bondi, Ingrid Bonetti, and Pietro Bartolozzi JBJS Essent Surg Tech Volume 2(2):e10 May 23, 2012 ©2012 by The Journal of Bone and Joint Surgery, Inc.

2 Bruno Magnan et al. JBJS Essent Surg Tech 2012;2:e10 ©2012 by The Journal of Bone and Joint Surgery, Inc.

3 Bruno Magnan et al. JBJS Essent Surg Tech 2012;2:e10 ©2012 by The Journal of Bone and Joint Surgery, Inc.

4 Bruno Magnan et al. JBJS Essent Surg Tech 2012;2:e10 ©2012 by The Journal of Bone and Joint Surgery, Inc.

5 Bruno Magnan et al. JBJS Essent Surg Tech 2012;2:e10 ©2012 by The Journal of Bone and Joint Surgery, Inc.

6 Bruno Magnan et al. JBJS Essent Surg Tech 2012;2:e10 ©2012 by The Journal of Bone and Joint Surgery, Inc.

7 Bruno Magnan et al. JBJS Essent Surg Tech 2012;2:e10 ©2012 by The Journal of Bone and Joint Surgery, Inc.

8 Bruno Magnan et al. JBJS Essent Surg Tech 2012;2:e10 ©2012 by The Journal of Bone and Joint Surgery, Inc.

9 Bruno Magnan et al. JBJS Essent Surg Tech 2012;2:e10 ©2012 by The Journal of Bone and Joint Surgery, Inc.

10 Bruno Magnan et al. JBJS Essent Surg Tech 2012;2:e10 ©2012 by The Journal of Bone and Joint Surgery, Inc.

11 Bruno Magnan et al. JBJS Essent Surg Tech 2012;2:e10 ©2012 by The Journal of Bone and Joint Surgery, Inc.

12 Bruno Magnan et al. JBJS Essent Surg Tech 2012;2:e10 ©2012 by The Journal of Bone and Joint Surgery, Inc.

13 Bruno Magnan et al. JBJS Essent Surg Tech 2012;2:e10 ©2012 by The Journal of Bone and Joint Surgery, Inc.

14 Bruno Magnan et al. JBJS Essent Surg Tech 2012;2:e10 ©2012 by The Journal of Bone and Joint Surgery, Inc.

15 Bruno Magnan et al. JBJS Essent Surg Tech 2012;2:e10 ©2012 by The Journal of Bone and Joint Surgery, Inc.

16 Bruno Magnan et al. JBJS Essent Surg Tech 2012;2:e10 ©2012 by The Journal of Bone and Joint Surgery, Inc.

17 Bruno Magnan et al. JBJS Essent Surg Tech 2012;2:e10 ©2012 by The Journal of Bone and Joint Surgery, Inc.

18 Bruno Magnan et al. JBJS Essent Surg Tech 2012;2:e10 ©2012 by The Journal of Bone and Joint Surgery, Inc.

19 Bruno Magnan et al. JBJS Essent Surg Tech 2012;2:e10 ©2012 by The Journal of Bone and Joint Surgery, Inc.

20 Bruno Magnan et al. JBJS Essent Surg Tech 2012;2:e10 ©2012 by The Journal of Bone and Joint Surgery, Inc.

21 Bruno Magnan et al. JBJS Essent Surg Tech 2012;2:e10 ©2012 by The Journal of Bone and Joint Surgery, Inc.

22 Bruno Magnan et al. JBJS Essent Surg Tech 2012;2:e10 ©2012 by The Journal of Bone and Joint Surgery, Inc.

23 Kirschner wire insertion starts from the lateral corner of the nail of the fifth toe. Bruno Magnan et al. JBJS Essent Surg Tech 2012;2:e10 ©2012 by The Journal of Bone and Joint Surgery, Inc.

24 The parosteal position of the Kirschner wire is centered between the dorsal and plantar aspects of the metatarsal head. Bruno Magnan et al. JBJS Essent Surg Tech 2012;2:e10 ©2012 by The Journal of Bone and Joint Surgery, Inc.

25 The skin incision. Bruno Magnan et al. JBJS Essent Surg Tech 2012;2:e10 ©2012 by The Journal of Bone and Joint Surgery, Inc.

26 Bruno Magnan et al. JBJS Essent Surg Tech 2012;2:e10 ©2012 by The Journal of Bone and Joint Surgery, Inc.

27 Bruno Magnan et al. JBJS Essent Surg Tech 2012;2:e10 ©2012 by The Journal of Bone and Joint Surgery, Inc.

28 The osteotomy is performed with use of a micromotorized Lindemann bone cutter. Bruno Magnan et al. JBJS Essent Surg Tech 2012;2:e10 ©2012 by The Journal of Bone and Joint Surgery, Inc.

29 The level of the cut is checked under fluoroscopy. Bruno Magnan et al. JBJS Essent Surg Tech 2012;2:e10 ©2012 by The Journal of Bone and Joint Surgery, Inc.

30 Bruno Magnan et al. JBJS Essent Surg Tech 2012;2:e10 ©2012 by The Journal of Bone and Joint Surgery, Inc.

31 Bruno Magnan et al. JBJS Essent Surg Tech 2012;2:e10 ©2012 by The Journal of Bone and Joint Surgery, Inc.

32 Bruno Magnan et al. JBJS Essent Surg Tech 2012;2:e10 ©2012 by The Journal of Bone and Joint Surgery, Inc.

33 Bruno Magnan et al. JBJS Essent Surg Tech 2012;2:e10 ©2012 by The Journal of Bone and Joint Surgery, Inc.

34 Bruno Magnan et al. JBJS Essent Surg Tech 2012;2:e10 ©2012 by The Journal of Bone and Joint Surgery, Inc.

35 Bruno Magnan et al. JBJS Essent Surg Tech 2012;2:e10 ©2012 by The Journal of Bone and Joint Surgery, Inc.

36 Bruno Magnan et al. JBJS Essent Surg Tech 2012;2:e10 ©2012 by The Journal of Bone and Joint Surgery, Inc.

37 Bruno Magnan et al. JBJS Essent Surg Tech 2012;2:e10 ©2012 by The Journal of Bone and Joint Surgery, Inc.

38 Bruno Magnan et al. JBJS Essent Surg Tech 2012;2:e10 ©2012 by The Journal of Bone and Joint Surgery, Inc.

39 The Kirschner wire is driven firmly as far as the base of the fifth metatarsal in order to improve stabilization. Bruno Magnan et al. JBJS Essent Surg Tech 2012;2:e10 ©2012 by The Journal of Bone and Joint Surgery, Inc.

40 Bruno Magnan et al. JBJS Essent Surg Tech 2012;2:e10 ©2012 by The Journal of Bone and Joint Surgery, Inc.

41 Bruno Magnan et al. JBJS Essent Surg Tech 2012;2:e10 ©2012 by The Journal of Bone and Joint Surgery, Inc.

42 Bruno Magnan et al. JBJS Essent Surg Tech 2012;2:e10 ©2012 by The Journal of Bone and Joint Surgery, Inc.

43 Bruno Magnan et al. JBJS Essent Surg Tech 2012;2:e10 ©2012 by The Journal of Bone and Joint Surgery, Inc.

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