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3Surgical technique

By pressing the tip of the scalpel across the periosteum and pulling the scalpel handle backwards the periosteum is transected. The horizontal transection should connect to the distal end of the vertical incision.

Note: it is prudent to protect the caudal skin with the periosteal elevator in case the scalpel tip gets temporarily caught in the bone surface and the increased traction momentarily releases the scalpel tip resulting in an accidental horizontal skin incision because the accelerated movement cannot be counteracted in time.