- See:
- Medial Tibial Plateua Fractures:
- Discussion:
- on medial side, plate is applied to anteromedial face of proximal metaphysis deep to pes anserinus & anterior fibers of MCL;
- Incision:
- incision begins over medial femoral condyle, continues anterodistally then crosses the joint line near the medial edge of the patellar
tendon, and extends posterodistally for several centimeters;
- arthrotomy of knee is not performed, if only tibial flare needs to be exposed;
- the tibial flare and the fracture are exposed subperiosteally;
- attachments of Pes anserinus from tibia are divided to allow sufficient exposure for application of plate;
- superifial MCL insertion is preserved;
- w/ knee flexed, tendons & medial collateral ligament move posteriorly, allowing maximum exposure of the flare