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Treatment considerations for avascular necrosis of the second metatarsal

from Podiatry Today

Bob Baravarian, DPM, and Brayton Campbell, DPM, write, "We recently had a patient present to our institute for continued pain to his right foot six months after plantar plate repair in the right second metatarsophalangeal joint (MPJ). A review of the operative report and computed tomography (CT) scan found that the patient had a second metatarsal plantar condylectomy with Kirschner wire fixation. Unfortunately, he developed avascular necrosis of the second metatarsal head with significant bone resorption. He presented to our institute to discuss his surgical revision options. This condition is difficult to treat and often frustrating." more

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