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3Surgical technique

The same procedure is performed at the palmar/plantar aspect of the vertical incision resulting in an inverted “T”-incision of the periosteum. The horizontal incision extends approximately around ¼ to 1/3 of the circumference of McIII/MtIII centered on the midline.
Care must be taken to avoid opening of the palmar pouch of the metacarpo-/metatarsophalangeal joint capsule.

Note: in the “+” incision the cuts are about half the size of the incisions described above and the horizontal incision is centered in the center of the vertical incision.