Dorsal approach to MT1
The dorsal approach to the first metatarsal is used for arthrolysis of the metatarso-phalangeal joint.
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.