Executive Editor: Ernst Raaymakers, Joseph Schatzker, Rick Buckley

Authors: Matthias Hansen, Rodrigo Pesantez

Proximal tibia

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Glossary

MIO approach
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Principles

Articular reduction must be checked arthroscopically because the joint cannot be visualized directly through the small incision of a minimally invasive approach.


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Skin incision

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

 


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Opening the fascia

Open the deep fascia starting at Gerdy’s tubercle and extend it distally. Expose the bone by releasing the anterior attachment of tibialis anterior.


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Arthroscopy

To control the articular reduction insert an arthroscope through a medial portal. You cannot make an adequate arthrotomy laterally through the small lateral incision of a minimally invasive approach.


Wound closure

To avoid a compartment syndrome do not close the fascia. Close the soft tissues in a routine manner.

v2.0 2010-05-15