The anatomical basis for incisions around the foot and ankle in clubfoot surgery.
Skin problems are the cause of a high incidence of recurrent clubfoot problems. With respect to the demonstrated vascular territories (angiosomes) of the ankle and foot, the incisions which seem to be safest are vertical as opposed to transverse, and between angiosomes. The safest of all are the posteromedial incision with an additional vertical lateral incision if necessary, and the posterolateral with an additional medial incision.
Lehman
W B
WB
Hospital for Joint Diseases Orthopaedic Institute, New York, NY 10003.
Silver
L
L
Grant
A D
AD
Strongwater
A M
AM
Weg
O
O
D000842:Ankle / Q000098:blood supply; D001158:Arteries / Q000473:pathology; D002921:Cicatrix / Q000601:surgery; D003025:Clubfoot / Q000473:pathology / Q000601:surgery*; D005528:Foot / Q000098:blood supply*; D006801:Humans; D011183:Postoperative Complications / Q000601:surgery; D012039:Regional Blood Flow; D012867:Skin / Q000098:blood supply*