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Lateral approach

Superficial surgical dissection

The dissection plane is between the peroneus tertius anteriorly and the peroneus longus and brevis posteriorly. The figure shows a long incision, such as would be used for supra syndesmotic fractures.

Handling the damaged soft tissue is crucial. Use small retractors only in good soft-tissue conditions. Retracting with protecting sutures is a safe method.

Note

Be careful not to damage the superficial peroneal nerve, which lies very closely anteriorly, especially in the proximal part of the incision. In more anterior incisions, it should be identified and protected.  When dissecting posteriorly, be careful not to damage the short saphenous vein and the sural nerve.