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. 2023 Jul 25;8(3):24730114231188123. doi: 10.1177/24730114231188123

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© The Author(s) 2023

This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).

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Figure 4. — Top row: Preoperative radiographs demonstrating decreased joint space and large osteophytes on the metatarsal head and the base of the proximal phalanx. Bottom row: (A) The guidewire placed centrally in the metatarsal head. (B) Over-reaming the guidewire with a 10-mm step drill. (C) The void left in place by the drill. Note the overall preservation of the metatarsal head morphology and length. (D) Implant in place.