Midfoot - Dorsolateral Approach
This Midfoot – Dorsolateral Approach course will teach you:
- To access the following bones of the midfoot:
- the cuboid and calcaneocuboid joint
- the 5th and/or 4th metatarsal, or its adjacent joints.
Special attention is paid to the following hazards you may encounter during the Midfoot – Dorsolateral Approach:
- Sural nerve branches injury
- Fibularis brevis tendon injury
With the following tips you might perform the Midfoot – Dorsolateral Approach even better:
- Sural nerve branch isolation
- Foot fasciotomy in case of compartment syndrome
- Facilitating muscles and tendon retraction
- Thickness of the dissection layer
- Increasing exposure to calcaneus/cuboid by retracting the extensor digitorum brevis tendon
- Better exposure of the 4th tarsometatarsal joint and/or the 5th tarsometatarsal joint
- Optimal access to the lateral malleolus, the posterior part of the subtalar joint and the calcaneocuboid joint
- Deep fascia closure
After studying the Midfoot – Dorsolateral Approach course you are familiar with the most common complications:
- Foot compartment syndrome
- Wound complications
- Post-traumatic arthritis
- Sural nerve branch injury
- Foot deformity
- Delayed union
Step by step
Identify the following landmarks on the skin: the base of the 4th and 5th metatarsal; the lateral malleolus and the tarsal sinus.
Mark the skin starting at the base of the 4th metatarsal and ending 1 cm inferior to the tarsal sinus.
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