Ankle – posteromedial approach
* position
– supine with hip flexed & ER and knee flexed
– lateral with affected leg down
* incision – long. incision midway btw Achilles tendon & med. malleolus
* no internervous plane
* dissection
– deepen incision to enter fat that lies btw Achilles & flexor tendons
– ID fascia in ant. flap that covers flexor tendons
> first
– ID FHL
– develop plane btw FHL & peroneal tendons
– expose ankle joint & incise capsule
> second
– ID FHL
– continue dissection ant. toward med. malleolus
– ID nv bundle & retract lat. with FHL
– develop plane btw nv bundle & FDL
– expose ankle & incise capsule
* dangers
– PTA & tibial n. – run btw FDL & FHL with art. ant. to nerve
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