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APPROACH TO THE SUBTALAR JOINT (OLLIER APPROACH)

USES

This approach is used for a subtalar fusion or for a triple arthrodesis.

ADVANTAGES

This approach provides good access to the sinus tarsi and to the posterior facet of the subtalar joint.

DISADVANTAGES

Except for the above-mentioned uses, this is not a very utilitarian approach.

STRUCTURES AT RISK

Because this approach crosses the midfoot transversely, the sensory branches of the peroneal nerve coming onto the anterolateral aspect of the foot are at risk and can be damaged. They should be identified and protected as much as possible. The sural nerve crosses posteriorly and can be damaged at the more proximal plantar end of the incision. These branches must be looked for and avoided.

TECHNIQUE

Related posts:

Volar Approach to the Basal Joint of the Thumb (for Bennett’s Fracture) Anterior Approach to the Distal Thigh and Femur Anterolateral Approach to the Tibia Deltopectoral Approach Posterior Approach Anterior Approach to the Cervical Spine

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