Technique

Caution—amputation of the hallux is deceptively simple. Surgeons often find that, once the hallux is amputated, they are unable to close the surgical wound without removing the metatarsal head and a portion of the shaft. This will always occur when using a racquet incision encircling the base of the great toe. The dilemma is how to prevent this from happening. The approach, when feasible, should be to develop a long medial or lateral skin flap that will allow for closure over the disarticulated 1st metatarsal head.

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