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Open Reduction of 2nd Metatarsophalangeal Joint as a Method to Reduce Combined Lesser Metatarsophalangeal Dislocation - A Case Report.

INTRODUCTION: Combined dislocation of lesser metatarsophalangeal (MTP) joints is a rare occurrence. This case report details the successful open reduction of combined lesser MTP dislocation.

CASE REPORT: A 54-year-old male presented with trauma to his right foot following a fall from height. The patient had dorsolateral dislocation of the second, third, and fifth MTP joints, accompanied by a displaced fracture of the fourth metatarsal neck with an intact fourth MTP joint. The initial closed reduction attempt proved unsuccessful, leading to a planned open reduction and K-wire fixation. Unexpected challenges were encountered during the procedure, with the unreducible nature of the fourth metatarsal fracture prompting a strategic shift in the approach.

CONCLUSION: This case highlights the significance of understanding the anatomy of MTP joints and the need for a systematic reduction strategy, with a focus on the second MTP joint, to achieve stability.

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