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Metatarsal head resection by dorsal approach of the second and third metatarsal heads. 16a:soft tissue dissection with metatarsal head exposure. 16b: resection of the second head with sagittal saw. 16c: removal of the second metatarsal head. 16d: primary closure with simple suture. 16e,f: wound closure of the plantar DFU after 1 week and wound closure of the dorsal incision after 3weeks.
