Surgical principles based on anatomy of the foot: preoperative planning

The time for planning an operative incision and approach begins in the office when the patient is first examined and his problem is reviewed. The area anatomy should be carefully studied in the interim prior to the surgical date. At surgery, a sterile marking pencil is employed and its outline carefully studied before the actual incision is made. A thorough knowledge of biomechanics dictates the procedures which may be considered feasible. Only by following such a carefully outlined course, can the surgeon feel reasonably secure that the surgery he proposes to his patient in his office, has a logical chance for a successful outcome.