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3Surgical technique

Apex fracture of the proximal sesamoid bone - removal

Debridement and inspection of the fracture bed

Once the fragment is removed the fracture bed is inspected and thoroughly curetted. Any remaining debris or any small fragments are removed. Special attention is given to the ligamentous attachment remains, which are checked for osseous remains attached to them.

It is advisable to take intraoperative radiographs to assure that the entire fragment is removed. Intraoperative fluoroscopy represent another option.

Small ligamentous stands are removed with a motorized shaver.