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Sesamoidectomy of medial and lateral sesamoids combined with a Keller arthroplasty. 14a: medial approach incision and capsule exposure. 14b; medial sesamoidectomy. 14c,d: plantar and medial metatarsal head condilectomy. 14e: resection of the proximal phalanx base. 14f: primary closure with simple suture and fixation with KW.14 g,h: wound closure after 12 weeks.
