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The procedure involves a small incision below the lateral knee, following the course of the nerve. The nerve is found initially posteromedial to the biceps femoris. It is tracked distally to where it branches to the deep and superficial branches. The nerve is released fully by initially separating the lateral septum between the peroneus longus and soleus aponeurosis, retracting the peroneus longus muscle medially, and fully dividing the superficial and deep portions of the fibrous arch. Any sites of entrapment or compression along this route are released. Nerve grafting may be warranted in severe cases in which the nerve is structurally damaged or severed.

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