• In a severely degenerated phalanx, locating the intramedullary canal can be quite challenging.

• Even the blunt leader-tip bur can perforate the cortex, and such perforation will result in a malaligned implant, compromising results. Biplanar fluo-roscopy should be used during burring if the surgeon is not absolutely certain of the bur's path within the phalanx.

Table 67-1 Patient Range of Motion



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