Arthroscopic Sesamoidectomy and Plantar Metatarsal Head Bone Shaving in Management of First Metatarsal Head Metatarsalgia After First Metatarsophalangeal Fusion

First metatarsophalangeal arthrodesis has been used to treat end-stage arthritis of the great toe (e.g., gout, post-traumatic, infection), severe hallux valgus deformity, caused by neuromuscular disorders, rheumatoid forefoot primary varus, and rigid plantarflexion deformities, as well a salvage procedure for failed previous operation toe. As with any procedure, proper positioning in first is utmost importance good clinical outcome. The chief problem tends be sagittal alignment. In case significant dorsiflexion malunion fusion site excessive plantar pressure joint abutment shoebox, corrective osteotomy indicated. If there isolated without problem, arthroscopic sesamoidectomy bone shaving side metatarsal head another surgical option. purpose this technical note describe details head.