Ankle approaches

Question 1

Anterior Internervous plane

Answer 1

• Between EDL & EHL both supplied by (deep peroneal nerve)

Question 2

Anterior Ankle approaches Incision

Answer 2

• Midline anterior
• Between 2 malleoli
• Cut skin only (10 cm incision)

Question 3

Anterior Ankle approaches Superficial dissection

Answer 3

1. Protect superficial peroneal nerve
2. Incise deep fascia/extensor retinaculum in line with skin incision

Question 4

Anterior Ankle approaches Deep dissection

Answer 4

1. Find plane between EDL and EHL above ankle joint
2. Identify neurovascular bundle
3. Mobilizing tibialis anterior artery and deep peroneal nerve
4. Retract EHL and neurovascular bundle medially
5. Retract EDL laterally then incise the joint capsule inline with incision

Question 5

Anterior Ankle approaches Dangers

Answer 5

1. Superficial peroneal nerve cutaneous branches at greatest danger during skin incision
2. Neurovascular bundle (deep peroneal nerve and anterior tibial artery) above joint runs between EDL and EHL crosses behind EHL at level of the joint

Question 6

Anterior Ankle approaches

Answer 6

Question 7

what are the different approaches of the Ankle?

Answer 7

1. Anterior
2. Anterolateral
3. Posterolateral
4. Posteromedial

Question 8

Anterolateral Ankle approaches

Answer 8

Question 9

Posterolateral Ankle approaches

Answer 9

Question 10

Posteromedial Ankle Approach?

Answer 10