Executive Editor: Ernst Raaymakers, Joseph Schatzker, Rick Buckley

Authors: Matthias Hansen, Rodrigo Pesantez

Proximal tibia 41-Complete articular fracture, simple articular, multifragmentary metaphyseal

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Glossary

Safe zones

Make sure to avoid the neurovascular structures around the knee (common peroneal nerve, deep peroneal nerve, and popliteal artery).

proceed
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Anterolateral approach

Make a straight incision lateral to the patella. Then, open the deep fascia anterior to the ilio-tibial tract.

proceed

MIO approach

Identify Gerdy’s tubercle. Make a straight incision about 5cm in length starting posteriorly to Gerdy’s tubercle and running distally and anteriorly.

proceed

Medial/posteromedial approach

With the knee in slight flexion make a straight or slightly curved incision running from the medial epicondyle towards the posteromedial edge of the tibia.

proceed
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Posterior approach

The posteromedial side can be approached without exposing and dissecting the neurovascular structures.         

proceed

v2.0 2010-05-15