![]() We use a- we could also use a periosteal elevator at this stage. So we're creating essentially skin flaps along the periosteum. Maybe increase that little racket, you know. Now we'd have to use with sharp dissection, and clear off part of this metatarsal head to be able to get down to cortex. Here's the metatarsal head, and here's the toe, essentially being completely amputated. So here, we'd see some avascular tendon, which we'll eventually remove. So now we're essentially taking the tissue off the metatarsal head. ![]() So we're marking circular, the base of the toe, and then we're going to make a incision along the lateral- sorry, medial aspect of the foot to include the first metatarsal head. So we start off by marking the incision, just to include the proximal phalanx and essentially to be able to remove the first metatarsal head. So we're starting now with a left first toe Ray amputation- starting with draping.
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