posterolateral

Foot and Ankle

Approaches

 

Ankle

- anterior

- anterolateral

- posterolateral

 

Hindfoot

- lateral

- Ollier's

 

Anterior approach to Ankle

 

Concept

 

Between EHL and EDL

 

Indications 

- drainage of ankle joint

- ankle arthrodesis

- ORIF tibial plafond

- removal of loose bodies

 

Approach

 

Position 

Arthroscopy

Portals

 

1.  Anterolateral

 

Viewing portal

- 1cm lateral to patella tendon

- 1cm above joint line

- 1 cm below inferior pole patella

 

Problems

- too medial, in fat pad

- too high, limitation by patella, difficult to see posterior horns

- too low, damage anterior horn meniscus

 

Limitations

- PCL

- anterior horn LM