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Anterolateral approach

The fascia is incised just lateral to the tibial crest.

Dissection

The fascia is incised just lateral to the tibial crest and the dissection is carried down extraperiostally along the lateral surface of the tibia.

The periosteum is left intact, though it may require mobilization near the fracture site for exposure of fracture edges. This is commonly done in preparation for direct anatomical reduction.