Executive Editor: Ernst Raaymakers, Joseph Schatzker, Rick Buckley

Authors: Matthias Hansen, Rodrigo Pesantez

Proximal tibia

Overview

Safe zones i

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

Anterolateral approach i

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

Arthroscopic approach i

The arthroscopic approach is only recommended in minimally, or nondisplaced, fractures in young patients.|alt

The arthroscopic approach is only recommended in minimally, or nondisplaced, fractures in young patients. Advanced experience in arthroscopic surgery is essential.

MIO approach i

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

Posteromedial approach i

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.

Posterior approach i

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

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v2.0 2010-05-15