65-75 degrees DF/15 degrees PF
unilateral
progressive
limitation of sagittal plane motion (1st MP joint)
end point global bone on bone synovitis effusion
painful sagittal plane motion (1st MP joint)
crepitus
catch-osteochondral defects
abnormal sagittal plane motion (1st MP joint)
drives the medial column into the ground
foot pushes off with faulty windlass mechanims
excessive STJ pronation
glissans 4 principles?
complete removal of all cartilage and intervening tissue or material
accurate and close fitting of fusion surfaces
optimal position of fusion
maintenance of bone apposition until complete fusion