We are describing a transverse incision that we have found useful in
performing surgical procedures involving extensive dissection of the
posterior, medical, and lateral aspects of the foot and ankle. Operative
procedures using this incision have been performed on 154 feet in
ninety-nine patients who were less than fifteen years old and who had an
average follow-up of eighteen months. The incision is transverse and
extends from the anteromedial to the anterolateral aspect of the foot over
the back of the ankle at the level of the tibiotaler joint. Depending on
the requirements of the procedure, either the anteromedial or
posterolateral portion of the incision, or the complete incision, may be
used. The incision improves visualization of the medial, posterior, and
lateral aspects of the foot and ankle, while at the same time resulting in
excellent healing of the wound and an improved cosmetic appearance compared
with the more commonly used vertical incisions.