Metatarsals

Medial approach to MT1

The medial approach to the first metatarsal is used for the fixation of certain fractures of the first metatarsal, for osteotomies of the first metatarsal, or for transfer of the flexor hallucis longus tendon into the base of the first metatarsal.

Dorsal approach to MT1

The dorsal approach to the first metatarsal is used for arthrolysis of the metatarso-phalangeal joint.
It may also be employed in the fixation of first metatarsal fractures, osteotomies of the first metatarsal,1st metatarsophalangeal arthrodesis and 1-2 intermetatarsal fusions.
The proximal part of this approach is useful for arthrodesis of the first tarsometatarsal and the 1-2 intermetatarsal joints.

Dorsal approach to MT1 & MTPJ

This approach is useful for tendon injuries and ORIF of the distal metatarsal, first MTP dislocations that are irreducible and proximal phalanx fractures.

Dorsal intermetatarsal approach

This approach is indicated for ORIF of proximal and distal metaphyseal and epiphyseal fractures of the base of the metatarsals. It can also be used for diaphyseal osteotomies.

The approach can also be used for performing an interposition arthroplasty in cases of degenerative joint disease in the 4th and the 5th tarso-metatarsal joints.

Lateral approach to MT5

The lateral approach to the fifth metatarsal is used for the fixation of fractures of the fifth metatarsal and diaphyseal osteotomies.

Dorsal approach to midfoot & MT

These three incisions will be used to approach the midfoot from medial for the first midmetatarsal injury and a second and third incision for the more lateral injuries.