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https://www.selleckchem.com/products/l-ascorbic-acid-2-phosphate-sesquimagnesium-salt-hydrate.html Reconstruction of the plantar plate to stabilize adislocated or instable lesser metatarsophalangeal joint using adorsal approach in combination with aWeil osteotomy. Dislocated or instable lesser metatarsophalangeal joint with rupture of the plantar plate. Infection, circulatory disorders, symptomatic degenerative arthritis lesser metatarsophalangeal joint. Weil osteotomy using adorsal approach. Temporary dislocation of the metatarsal head as proximal as possible. Inspection of the plantar plate. Assessment and classification of type and extent of the rupture. Suturing of the plantar plate to the plantar bases of the proximal phalanx. Fixation of the Weil osteotomy with correction of the metatarsal alignment. Weight bearing in apostoperative shoe as tolerated. X‑ray control 6weeks postoperative. Full weight bearing in aconventional shoe after bony consolidation. A total of 23surgical reconstructions of the plantar plate (complete plantar plate repair) between 12/2012 and 10/2014 were performed. The secondary dislocation occurred between 6 weeks and 1 year postoperative. Normal function of the reconstructed joint was achieved in 13 of the 23 reconstructions (57%). A reduced toe purchase was observed in 3 reconstructions (13%). A floating-toe resulted after 7 reconstructions (30%). Obtaining an electrocardiogram (ECG) is the gold standard for initial diagnostics of atraumatic chest pain. To provide optimal patient care, the treating physician has to be proficient in recognizing early signs of myocardial ischemia. Information from the clinical assessment and typical ECG signs have to be recognized promptly in order to diagnose myocardial ischemia early. Aselective literature search in international databases (PubMed, Cochrane Library, Google Scholar) was conducted; current, topic-specific websites and literature were also included and evaluated. Several subtle ECG abnorma

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