Tibia – anterior approach

* position – supine & tourniquet

* incision – longitudinal incision 1 cm lat. to ant. border of tibia

* no internervous plane

* dissection
– elevate skin flaps
– incise periosteum
– elevate to expose either med. surface or lat. surface of tibia

* dangers
– long saphenous vein – runs along med. side of calf
– skin flaps must be closed meticulously to avoid infection

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