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Medial malleolar osteotomy

Incision

Skin incision
This incision follows from the medial malleolus proximally to the base of the first metatarsal distally. Only that portion needed is used, but is often extended proximally for more complex fractures.
Importantly, the deltoid branch of the posteromedial vasculature must be preserved as it supplies a majority of the medial talus.