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ANTEROLATERAL APPROACH TO THE ANKLE LIGAMENTS
USES
This approach is used for reconstruction of the lateral ligaments of the ankle.
ADVANTAGES
This approach provides excellent exposure to the ligaments. It also runs parallel to the superficial sensory branches of the peroneal nerves so that they are less at risk with this approach.
DISADVANTAGES
This approach provides limited exposure to any other structures around the ankle or midfoot.
STRUCTURES AT RISK
The major structures at risk are the sensory branches of the peroneal nerve. The peroneus tertius tendon runs parallel to the incision and should not be damaged. Inferiorly, the peroneal tendons could be transected if the dissection is carried to far plantarward.
TECHNIQUE