Single Transverse,Dorsal Incision for Lesser Metatarsophalangeal Exposure

Abstract

Background: The exposure of the lesser metatarsophalangeal joints is often difficult and inadequate in the presence of rheumatoid arthritis and associated deformities. We describe our results following the use of a single curved transverse, dorsal incision for the Mann-Thompson type of forefoot arthroplasty, ^5,9 multiple Weil osteotomies, ^1,2,7,11 and other forefoot procedures. Materials and Methods: One hundred thirty-nine consecutive patients (163 feet) were included in the study. Wound healing, and patient and surgeon satisfaction were assessed. Results: Ease of exposure and visualization of the target area was good-to-excellent in all patients. There were eight minor wound complications. There were no neurovascular complications. Conclusion: A single transverse incision offers adequate exposure of lesser metatarsophalangeal joints and good cosmesis.

Level of Evidence: IV, Case Series