Ankle - Posterolateral Approach
This Ankle – Posterolateral Approach course will teach you:
- To gain exposure of the posterolateral part of the ankle. The posterolateral approach allows access to the posterior aspect of the distal tibia and the ankle joint. Posterior malleolar fractures are accessible for open reduction and internal fixation. The short saphenous vein and the sural nerve are at risk during this procedure.
Special attention is paid to the following hazards you may encounter during the Ankle – Posterolateral Approach:
- Sural nerve injury
- Fibular artery damage
With the following tips you might perform the Ankle – Posterolateral Approach even better:
- Facilitation of lateral fibula exposure
- Deep crural fascia closure
After studying the Ankle – Posterolateral Approach course you are familiar with the most common complications:
- Persistent swelling
- Neurovascular injury
- Postoperative joint stiffness
Step by step
Lateral ankle exposure
Mark the skin longitudinally at the achilles tendon and the lateral malleolus.
Incise the skin in the middle of these two structures, from distal to proximal, extending 10-15 cm, depending on the fracture.
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