Unilobed Rotational XXXX for Plantar Hallux Interphalangeal Joint Ulceration Complicated by @entity4034 .

@entity1 @entity6 @entity39 @entity1066 @entity4034 @entity18415 @entity16 @entity1912 @entity281 @entity4553 @entity1411
UNASSIGNED: @entity6 -related @entity1066 located at the plantar aspect of the @entity18415 interphalangeal joint are often chronic or recurrent and frequently become complicated by @entity4034 . Once infected, treatment will typically involve @entity18415 amputation. Although intended as a definitive procedure, amputation of the first toe is not desirable from a cosmetic or functional standpoint and often leads to transfer @entity1066 at adjacent locations of the foot. Reconstructive wound surgery, combined with limited bone resection, is possible if the @entity281 is caught early before the local tissue and bone have become @entity39 . In addition to @entity16 , biomechanical issues, including ankle equinus, @entity18415 limitus, @entity18415 extensus, and @entity4553 , predispose @entity1 with @entity6 to developing @entity1411 . We commonly employ a proximal based unilobed plantar rotational @entity1912 combined with @entity18415 interphalangeal joint arthroplasty as an alternative to @entity18415 amputation. We present a typical case with long-term follow-up to highlight our @entity1912 protocol, including @entity1 selection criteria, @entity1912 design, surgical technique, bone resection and biopsy pearls, staging timeline, and a typical postoperative course. Periodic follow-up during the next 72  months for unrelated conditions allowed long-term monitoring with no recurrence of @entity4034 or subsequent amputation. The foot remained @entity1066 free 6 years later. The benefits of this surgical approach include complete excision of the @entity1066 , adequate exposure for bone resection, early bone biopsy before the spread of @entity281 or @entity39 of local tissue, @entity1912 coverage with viable soft tissue, and partial offloading of mechanical pressure at the plantar interphalangeal joint.
