Authors of section


Alan Ruggles

Executive Editor

Jörg Auer

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Approach to tibial crest

1. Skin incision

A medial based slightly curved incision is made over the cranial aspect of the tibia. The incision originates at the level of the distal femur and extends distally to the proximal one third of the tibia.

approach to tibial crest


A closed suction drain is often used because of the likelihood of seroma formation in this location. The subcutaneous tissue and skin are closed routinely. A sterile dressing and a stent bandage are applied to the surgical incision.