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The transverse dorsal approach to the Lisfranc joint.

Publication ,  Journal Article
Vertullo, CJ; Easley, ME; Nunley, JA
Published in: Foot Ankle Int
May 2002

While multiple longitudinal skin incisions can be utilized to visualize the joints of the midfoot, we feel that exposure can be difficult. Dorsal transverse and T incisions were undertaken to expose the tarsometatarsal joints (TMTJs) in 12 patients. Five of the 12 had some form of immunosuppression, including diabetes, methotrexate therapy and antirejection transplant therapy. One patient who had a lengthening of the midfoot with a structural autograft suffered a small area of skin necrosis that healed by secondary intention. The remainder of patient's wounds healed without complication. Three to six dorsal access intervals are created between the neurovascular and musculotendinous structures that overlie the TMTJs. The transverse incision can be extended into a medially based T incision to apply a medial plate as required. Transverse incisions are not recommended for patients who require lengthening of the midfoot.

Duke Scholars

Published In

Foot Ankle Int

DOI

ISSN

1071-1007

Publication Date

May 2002

Volume

23

Issue

5

Start / End Page

420 / 426

Location

United States

Related Subject Headings

  • Wound Healing
  • Tarsal Joints
  • Radiography
  • Prospective Studies
  • Orthopedics
  • Middle Aged
  • Humans
  • Foot
  • Female
  • Arthrodesis
 

Citation

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Vertullo, C. J., Easley, M. E., & Nunley, J. A. (2002). The transverse dorsal approach to the Lisfranc joint. Foot Ankle Int, 23(5), 420–426. https://doi.org/10.1177/107110070202300509
Vertullo, Christopher J., Mark E. Easley, and James A. Nunley. “The transverse dorsal approach to the Lisfranc joint.Foot Ankle Int 23, no. 5 (May 2002): 420–26. https://doi.org/10.1177/107110070202300509.
Vertullo CJ, Easley ME, Nunley JA. The transverse dorsal approach to the Lisfranc joint. Foot Ankle Int. 2002 May;23(5):420–6.
Vertullo, Christopher J., et al. “The transverse dorsal approach to the Lisfranc joint.Foot Ankle Int, vol. 23, no. 5, May 2002, pp. 420–26. Pubmed, doi:10.1177/107110070202300509.
Vertullo CJ, Easley ME, Nunley JA. The transverse dorsal approach to the Lisfranc joint. Foot Ankle Int. 2002 May;23(5):420–426.
Journal cover image

Published In

Foot Ankle Int

DOI

ISSN

1071-1007

Publication Date

May 2002

Volume

23

Issue

5

Start / End Page

420 / 426

Location

United States

Related Subject Headings

  • Wound Healing
  • Tarsal Joints
  • Radiography
  • Prospective Studies
  • Orthopedics
  • Middle Aged
  • Humans
  • Foot
  • Female
  • Arthrodesis