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Lateral approach

General considerations

The longitudinal lateral incision is the standard approach for most lateral fractures.

If access to the anterior syndesmosis is required, or a lag screw from anterior to posterior (Chaput lesion) is planned, place the incision slightly anteriorly.

Make a 10-15 cm incision in line with the fibula, centered over the fracture. If necessary, the incision may be extended distally to reduce and hold the syndesmosis.