Metatarsals - 1st, head, intraarticular T-type, ORIF or K-wire fixation

enlarge

The patient is placed supine on a radiolucent table. A well-padded bump is placed under the ankle and heel of the surgical foot to elevate the foot for improved access and stabilize against rotation.

enlarge

The nonoperative leg is secured with safety straps or taping.

To correct for external rotation of the leg and foot, a well-padded bump may be placed under the ipsilateral hip (a).

Alternatively, to correct for internal rotation of the leg and foot, a well-padded bump is placed under the contralateral hip (b).