Stab incision in the diaphysis

The skin is incised along the entire fractured bone avoiding joint penetration and trauma to the distal physis.
The common digital extensor tendon is split longitudinally facilitating good closure over the repaired bone at the end of the surgery
The periosteum is usually ruptured in the fracture region. Care should be taken to avoid additional extensive trauma to the periosteum, such as complete stripping of the periosteum around the circumference of the fractured bone.

Note: Locking Compression Plates can be applied over the periosteum. Alternately, only the area that will be located under the plate(s) can be stripped off the periosteum.