Lateral MTP joint release ( modified McBrides procedure)
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The open lateral release technique demonstrated here is the commonest way of mobilising the lateral aspect of the first Metatarso-phalangeal joint.
This is one key step in the correction of moderate and severe Hallux valgus deformities.
If a minimally invasive technique is used the objectives are broadly the same though the execution different.
A release can also be done in a more limited fashion by dissecting through the lateral aspect of the joint. This technique can also be used in the correction of severe deformity using a first MTP fusion and a mild Hallux valgus.
Author:Mark Herron FRCS
Institution: The Wellington Hospital, London, UK.