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PLANTAR METATARSAL HEAD APPROACH
USES
This approach is used primarily to resect amputation neuromas that occur after a prior Morton’s neuroma resection.
ADVANTAGES
This approach comes directly down on the pathology through an easy approach that is not in the weight-bearing area of the foot.
DISADVANTAGES
This approach does not provide good exposure to any other structures, such as the tendons or the metatarsals themselves.
STRUCTURES AT RISK
The only structures at risk are the plantar nerve and artery. The point of the surgery is usually to identify the nerve and resect it more proximally. It is not technically a structure at risk. The plantar arteries, however, can be damaged and, if possible, should be protected.
TECHNIQUE