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A 3cm incision is made on the anterior aspect of the fibula from the distal end along the shaft |
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The superficial facia is excised revealing the attachments at the distal end of the fibula |
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Bone anchors are placed in the distal end of the fibula |
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The lateral ankle capsule and the Anterior Talofibular ligament are gathered with the suture and attached to the distal end of the fibula: the foot is held in an inverted position |
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Once the structures are attached, the deep layer is reapproximated |
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A Bivalved cast is applied The patient will begin active range of motion exercises in 7-10 days. |