Metatarsal Shaft: Juvara Procedure

         bunion deformity X-ray with a preoperative template
         Preoperative x-ray showing the
         bunion deformity

A preoperative x-ray with a template
that we construct to allow us to
determine if this is the correct
procedure for the patient, and if so,
exactly where the bone should be
broken and how much of a wedge of
bone should be removed

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This shows you how we use a special caliper to duplicate the
measurements we obtained from the preoperative template and
put those measurements on the actual bone to be cut

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These are examples of how we use intraoperative fluoroscopy to make certain that
the final alignment of the bone cuts and screw fixation is correct while the patient
is still under anesthesia in the operating room

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postoperative x-ray showing screw fixation
The x-ray of this patient was taken 3 years following the correction of the bunion