Incision centered one-finger breadth anterior to anterior border of fibula with the fibular head and lateral malleolus as landmarks (Figure 27-1)

Once skin and subcutaneous tissue retracted, the fascia is easily identified with the lateral intermuscular septum being identified

Lateral intermuscular septum identification is the key to assessing boundaries between anterior and lateral compartments (Figures 27-2 and 27-3)

A transverse fascial incision should be done which connects the anterior and lateral compartments

Metzenbaum scissors and forceps can be used to longitudinally release the anterior compartment fascia

Identification of the deep peroneal nerve should be done and should be seen at the level of the tibial tubercle anterior to the lateral intermuscular septum confirming the release of the compartment

Distally, the superficial peroneal nerve traverses posterior to anterior from the lateral compartment into the anterior compartment approximately 10 cm above the tip of the lateral malleolus

The lateral compartment fascia may then be released longitudinally in the same manner

Longitudinal incision one finger breadth posterior to the posteromedial border of the tibia (Figure 27-4)