ABSTRACT
Surgery Report The patient was placed in the dorsal recumbent position. Two medial incisions were made. Firstly a 2 cm incision, 1 cm distal to the tibial plateau and distal to the medial collateral ligament. The second was also 2 cm in length, but 1 cm proximal to the medial maleolus. A periosteal elevator was used to create a supraperiosteal path connecting the two incisions; a path close to the medial bone cortex, but not invading the periosteum. A 12-hole, 3.5 mm locking, compression plate was contoured based on radiographs of the contralateral tibia. The plate was introduced into the proximal incision, tracking along the medial bone surface until visualized at the distal incision. Limb alignment was visually assessed. A locking screw was placed in screw hole 2. A second screw was placed in screw hole 11. Limb alignment was again visually assessed, then screws were placed in sequence in screw holes 1-3-10-12. The incisions were closed routinely.
