The authors describe a group of 13 patients where during treatment of aseptic necrosis of the head of the metatarsal bone a new surgical method was used--wedge-shaped resection of the head. They describe the aetiology, surgical technique and results. This surgical technique is used at the Orthopaedic Clinic of the Institute for Postgraduate Medical Training Prague-Bulovka since 1987. In the discussion the authors evaluate the disadvantages of hitherto used surgical techniques and compare the methods with the method they use. In the conclusion the achieved results are evaluated which justify wider use of the described method in routine practice of orthopaedic departments.

Ortopedická klinika ILF FNsP na Bulovce Praha