Single transverse, dorsal incision for lesser metatarsophalangeal exposure.

Abstract

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. One hundred thirty-nine consecutive patients (163 feet) were included in the study. Wound healing, and patient and surgeon satisfaction were assessed. 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. A single transverse incision offers adequate exposure of lesser metatarsophalangeal joints and good cosmesis.