- Discussion:
- allows access to midtarsal, subtalar, & ankle joints;
- disadvantages:
- skin may slough about margins of the incision, especially if dislocation of ankle is a part of the case (as in talectomy);
- further the peroneal tendons must usully be divided;
- in most instances the anterolateral incision is more satisfactory;
- incision:
- begins just lateral & distal to head of talus, curves about 1 inch inferior to tip of lateral malleolus, then continues posteriorly & proximally, and to end about 1 inch posterior to fibula & 5 cm proximal to tip of lateral malleolus;
- if needed incision may continue or, if desired, 5-7 cm further proximally, parallel with and posterior to fibula;
- deep exposure:
- dissect down to peroneal tendons and retract them posteriorly;
- this protects lesser saphenous vein & sural nerve lying just posterior to the incision