All approaches to the tibial shaft

This approach is most commonly used for fractures of the distal third tibial shaft. However, it can be used to expose the entire anteromedial surface.

It is also useful for debridement and irrigation of open fractures when an incision on the injured subcutaneous surface is to be avoided.

This approach may be necessary when the medial soft tissues are compromised, such as with open fractures, where the wound overlies the site for a medial plate.

MIPO of tibial fractures is preferably done through this approach, especially for distal fractures. However, if the skin is injured, this may not be safe.

This approach is used for MIO if the medial soft tissues are injured or a precontoured plate is placed laterally, for fixation of proximal and mid-tibial fractures.

This page comprises details on determination of and access to the nail entry point.

Inserting percutaneous instrumentation through safe zones reduces the risk of damage to neurovascular structures.

This approach can be used for open plate fixation of the tibia on its posterior surface.

This incision is also the one to be used for a medial fasciotomy for compartment decompression.

This approach can be used for open plate fixation of the tibia on its posterior surface, necessary if the anterior soft tissues are compromised.

This approach is often also used for treatment of nonunions with posterolateral bone grafting.