Midfoot - Medial Approach
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Midfoot - Medial Approach

This Midfoot – Medial Approach course will teach you:

  • To access the following bones of the midfoot:
    • the navicular bone,
    • the medial cuneiform
    • the base of the 1st metatarsal

Special attention is paid to the following hazards you may encounter during the Midfoot – Medial Approach:

  • Cutaneous nerves injury
  • Injury to tendons of the tibialis anterior and tibialis posterior muscles
  • Necrotic bone fragments due to compromised vasculature

With the following tips you might perform the Midfoot – Medial Approach even better:

  • Additional lateral incision for bilateral access to the talus
  • Additional dorsomedial incision for reconstruction of a navicular fracture with comminution
  • Foot fasciotomy in case of compartment syndrome
  • Regular palpation of bones for orientation
  • Proximal extension of the incision to allow access to the medial malleolus
  • Extension towards the proximal interphalangeal joint
  • Closure in layers
  • Deep fascia closure

After studying the Midfoot – Medial 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

You might also be interested in:
Midfoot – Dorsolateral Approach
Midfoot – Anterior Approach

Step by step

Superficial Dissection

Skin

Identify

Identify the following landmarks on the skin: the 1st tarsometatarsal joint; the medial cuneiform; the tuberosity of the navicular bone and the head of talus.

Mark

Mark the skin over the medial border of the foot directly above the identified structures, starting 1 cm inferior to the medial malleolus and extending distally up to the 1st tarsometatarsal joint.

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