Operative approaches: Foot

In an appropriately marked and consented anaesthetised patient. I would complete a WHO checklist.

I would position the patient supine with a bolster beneath the ipsilateral hip. Torniquet on to 310mmHg.
– Dorsomedial incision – over the first tarsometatarsal joint between the EHL and EDL.
– Dorsolateral incision – EDL and EDB
Prepare the fracture site. Reduce using pointed reduction forceps. Hold with K wire. place a screw through the cortical shelf on the medial cuneiform 3.5mm screws.
2-0 vicryl then 3-0 monocryl.