Surgical Discussion

Patient positioning:  The patient was positioned supine on the operating table with the affected leg elevated and supported by a sterile bump to facilitate access to the lateral aspect of the leg.

Anatomical surgical approach:  A longitudinal incision was made along the lateral aspect of the leg, extending from just below the fibular head to above the lateral malleolus. The fascia overlying the anterior and lateral compartments was incised, followed by careful subperiosteal dissection along the intermuscular septum to access and release the superficial posterior compartment. The deep posterior compartment was accessed by elevating the lateral border of the soleus muscle and incising its fascia.

The surgeon emphasized the importance of understanding anatomical landmarks to ensure complete release of all compartments through a single incision. It was noted that while releasing the deep posterior compartment from the lateral side is feasible, any required debridement would necessitate a separate medial incision. The surgeon reported successful decompression without complications, attributing this to meticulous anatomical knowledge and technique.

Postoperative protocol:   Postoperatively, the patient was placed in a well-padded splint with the ankle in neutral position. Early passive range of motion exercises were initiated within 48 hours, with progression to active exercises as tolerated. Weight-bearing was restricted until wound healing was confirmed.

Follow up:   Not specified.

Orthopaedic implants used:   No orthopaedic implants were used in this procedure.