title: The utility and limitations of the transfibular approach in ankle trauma surgery.
abstract: The commonly used extensive approaches to the distal tibia include the posteromedial and anterolateral approaches. The current report describes several cases performed using this technique establishing a rationale and safe zone for performing a transfibular approach to the distal tibia. The advantages of such approach are the excellent visualization of the lateral tibia and the articular space. The utilization of this approach involves the risk of injury to the anterior tibial vessels and to the superficial peroneal nerve as well as a requirement for syndesmosis reconstruction. The recommendation is to utilize this approach in cases of severe comminution of the lateral tibia with a relatively intact medial tibia.
authors.affiliation: Department of Orthopedics, Hasharon Hospital, Rabin Medical Center, Affiliated with the Sackler School of Medicine, Tel Aviv University, 4937211 Petah Tikva, Israel.
authors.forename: Mustafa
authors.initials: M
authors.lastname: Yassin
authors.affiliation: Department of Orthopedics, Hasharon Hospital, Rabin Medical Center, Affiliated with the Sackler School of Medicine, Tel Aviv University, 4937211 Petah Tikva, Israel.
authors.forename: Avraham
authors.initials: A
authors.lastname: Garti
authors.affiliation: Department of Orthopedics, Hasharon Hospital, Rabin Medical Center, Affiliated with the Sackler School of Medicine, Tel Aviv University, 4937211 Petah Tikva, Israel.
authors.forename: Muhammad
authors.initials: M
authors.lastname: Khatib
authors.affiliation: Department of Orthopedics, Hasharon Hospital, Rabin Medical Center, Affiliated with the Sackler School of Medicine, Tel Aviv University, 4937211 Petah Tikva, Israel.
authors.forename: Moshe
authors.initials: M
authors.lastname: Weisbrot
authors.affiliation: Department of Orthopedics, Hasharon Hospital, Rabin Medical Center, Affiliated with the Sackler School of Medicine, Tel Aviv University, 4937211 Petah Tikva, Israel.
authors.forename: Uzi
authors.initials: U
authors.lastname: Ashkenazi
authors.affiliation: Department of Orthopedics, Hasharon Hospital, Rabin Medical Center, Affiliated with the Sackler School of Medicine, Tel Aviv University, 4937211 Petah Tikva, Israel ; Department of Surgery, Hasharon Hospital, Rabin Medical Center, Affiliated with the Sackler School of Medicine, Tel Aviv University, 4937211 Petah Tikva, Israel.
authors.forename: Edward
authors.initials: E
authors.lastname: Ram
authors.affiliation: Department of Orthopedics, Hasharon Hospital, Rabin Medical Center, Affiliated with the Sackler School of Medicine, Tel Aviv University, 4937211 Petah Tikva, Israel.
authors.forename: Dror
authors.initials: D
authors.lastname: Robinson