Surgical Exposures in Foot & Ankle Surgery: The Anatomic Approach

ANKLE
1 Anterior Approach to the Ankle 1
2 Lateral Approach to the Ankle with Fibular Osteotomy for Ankle Fusion 7
3 Anterior and Posterior Approaches to the Medial Malleolus . 13
4 Approach to the Medial Side of the Ankle . 21
5 Posteromedial Approach to t he Ankle . 27
6 Posterolateral Approach to the Ankle . 33
7 Lateral Approach to the Lateral Malleolus . 39
8 Ankle Arthroscopy 45
9 Anterolateral Approach to the Ankle and Hind Part of the Foot 51

HINDFOOT
10 Lateral Approach to the Hind Part of the Foot 57
11 Lateral Approach to the Hindfoot (Posterior Part of Grice) 63
12 Lateral Approach to the Posterior Talocalcaneal Joint . . . . . . . . . . . . . . . . . .67
13 Anterolateral Approach to the Talar Neck 73
14 Anteromedial Approach to the Talar Neck . 79
15 Direct Lateral Approach to the Lateral Process of Talus 83
16 Posteromedial Approach to the Posterior Process of the Talus 87
17 Posterolateral Approach to the Posterior Talus . 93
18 Lateral Approach to the Calcaneus 97
19 Lateral Approach for Osteotomy of the Calcaneus (Vertical Portion of the Calcaneal Incision) . 101
20 Posteromedial, Posterolateral, and Posterior Midline Approaches for Excision of Calcaneal Exostosis ( Haglund’s Deformity) 105
21 Lateral Approach to the Os Peroneum . 109
22 Medial Approach to the Plantar Fascia 113
23 Hindfoot Nailing for Subtalar and Ankle Joint Fusion (Plantar Approach) 117
24 Medial Approach to t he Sustentaculum Tali 123
25 Applied Surgical Anatomy of the Approaches to the Ankle 127
26 Applied Surgical Anatomy of the Approaches to the Hind Part of the Foot 137
MIDFOOT
27 Midfoot: Approach to the Cuboid . 141
28 Approach to the Navicular . 145
29 Direct Medial Approach for Midfoot Collapse for Bony Planing and Skin Ulcer Treatment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .149
30 Dorsomedial Approach to Lisfranc’s Joint 153
31 Dorsolateral Approach to Lisfranc’s Joint . 157
32 Dorsal Approaches for Isolated Midfoot Joints 161
33 Plantar Approach for Plantar Fibromatosis . 165
34 Dorsal Approaches to the Middle Part of the Foot 169

FOREFOOT
35 Dorsal Approach to the Metatarsophalangeal Joint of the Great Toe 175
36 Dorsomedial Approach to the Metatarsophalangeal Joint of the Great Toe 179
37 Dorsolateral Approach for Bunion Surgery 183
38 Dorsomedial Approach to the First Metatarsal 187
39 Medial Approach to the First Metatarsal Bone for Excision of the Medial Sesamoid Bone 191
40 Plantar Approach to the Lateral Sesamoid Bone 195
41 Dorsal Approach to the Fifth Metatarsal Head for Bunionette 199
42 Lateral Approach to the Fifth Metatarsal Head for Bunionette 203
43 Lateral Approach to the Base of the Fifth Metatarsal 207
44 Dorsal Approach to the Second to Fifth Metatarsal Bones 211
45 Dorsal Approach to the Metatarsophalangeal Joints of the Second, Third, Fourth, and Fifth Toes 215
46 Dorsal Approach for Morton’s Neuroma 219
47 Plantar Approach for Recurrent Morton’s Neuroma . 223

TOES
48 Dorsolateral Approach to the Flexor Sheathes of the Second to Fifth Toes . 227
49 Transverse Approach for Surgery to a Hammer Toe 231
50 Longitudinal Approach to the Proximal Interphalangeal Joint of the Second to Fifth Toes for Hammer Toe . 235
51 Approach for Nail Bed Ablation . 239

Applied Surgical Anatomy
52 Applied Surgical Anatomy of the Foot 243