Lateral skin incision for minimally invasive plate
The skin incision for minimally invasive plate osteosynthesis of a distal
femoral fracture is simply a shorter version of the open lateral approach to
the distal femur. As with the standard open lateral approach, the distal extent
of the incision depends on the need for an arthrotomy. However, the proximal
extent is shorter as the plate will be slid into a submuscular tunnel.
The proximal starting point for the skin incision is in the metaphyseal
region of the femur.
The distal extension of the skin incision is dependent on whether or not an
arthrotomy needs to be performed. If joint exposure is needed, the incision is
carried to the level of the tibial tubercle (dashed line). If an arthrotomy is
not necessary, the skin incision can stop approximately 1-2 cm distal to the