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Anterolateral approach

This approach may be necessary when the medial soft tissues are compromised.

This approach is used uncommonly, but may be necessary when the medial soft tissues are compromised, such as with open fractures, as illustrated, where the wound overlies the site for a medial plate.

The disadvantage of this approach is, that the exposure is more difficult, because the surgeon must mobilize the muscles of the anterior compartment. It also compromises the tibial blood supply.