Foot & Ankle: Approach to Foot/Lower Leg

Description

The video features an instructional segment by Matthew Conti on performing an anterior approach to the ankle, primarily used for procedures like addressing pilon fractures or total ankle replacements. It starts with detailing the incision sites, emphasizing a precise location about one finger breadth lateral to the tibial crest. Conti describes the anatomical landmarks, including the shallow positioning of nerves, particularly the superficial peroneal nerve, which can be at risk during surgical procedures.



As the dissection progresses, he identifies key structures such as the anterior tibial tendon, extensor hallucis longus tendon, and the neurovascular bundle, elaborating on their locations and functions. The presentation emphasizes the significance of maintaining awareness of surrounding nerves and blood vessels to prevent injury during surgery.



Throughout the narration, Conti provides insights into the anatomy of the ankle joint, the importance of understanding ligaments involved in common injuries like high and low ankle sprains, and details anatomical structures such as the syndesmosis and talonavicular joint. Towards the end, he highlights the importance of maintaining safety by staying close to the bone during dissection and showcases the motion and characteristics of the talonavicular joint, wrapping up with a recap of essential takeaways about the anatomical relationships relevant to the anterior approach to the ankle.

Specialties