[Occlusion concepts].
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Biomedical subjects
Publications and source records attributed to G Gauthier.
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A new interpretation of the surgical treatment of Morton's neuroma consists of release of the anterior edge of the deep plantar fascia (deep intermetacarpal ligament) without resection of the neuroma. In 206 patients treated with this technique, 83% had rapid and stable improvement. An additional 15% were improved but with some persistence of pain. Division of the ligament without excision of the neuroma provides good pain relief in most patients without the hazards of loss of sensation, loss of sweat production, or neuroma development in the nerve stump.
Observations on plantar pressure points suggest that Freiberg's infraction is osteonecrosis of the second or third metatarsal head resulting from a subchrondral bone fatique fracture. A series of 53 cases were successfully treated by deflexion osteotomy of the involved metatarsal head.
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