Executive Editor: Joseph Schatzker, Richard Buckley

Authors: Michael Castro, Richard Buckley, Andrew Sands, Christina Kabbash


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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

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.

v2.0 2017-03-22