Midfoot arthrodesis (see text). A, Dorsal longitudinal incision is made just medial to second metatarsal. If medial plate is used, separate medial incision is made extending from mid-first metatarsal to navicular tuberosity. If exposure of fourth and fifth tarsometatarsal joints is needed, dorsolateral incision is made over fifth tarsometatarsal joint. B, Extensor hallucis longus is retracted medially, and extensor hallucis brevis is retracted medially or laterally depending on exposure needed. SEE TECHNIQUE 85.5.