Dorsal Approach to Midfoot

Options

  • Dorsomedial incision
    • TN joint
    • Navicular medial cuneiform joint
    • 1st TMT joint
  • Dorsolateral incision
    • CC joint
    • Base of 5th MT

Position

  • supine

Landmarks

  • 1st TMT joint
  • tubercle of navicular
  • base of 5th metatarsal

Incision

  • Longitudinal incision directly over the area to be exposed

Superficial Dissection

  • cut down directly onto bone
  • taking care to avoid any cutaneous nerves that can be identified
  • ensuring the skin flaps are as thick as possible