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Forty-two sesamoid arthrodeses performed since 1986 were reviewed. Thirty-seven cases were considered successful. Hypertension recurred in 3 of the 20 procedures performed for cerebral palsy and 1 of the 21 performed in association with basal joint arthroplasty for arthritic conditions. The single post trauma case was successful. Flexion was preserved. Prevention of hyper-extension of the metacarpophalangeal...