Technical TrickUse of a Midline Anterior Incision for Isolated Medial Tibial Plateau FracturesEspinoza-Ervin, Christopher Z MD; Starr, Adam J MD; Reinert, Charles M MD; Nakatani, Tetsuya Q MD; Jones, Alan L MDAuthor Information From the Department of Orthopaedic Surgery, University of Texas Southwestern Medical Center, Dallas, Texas; Nakatani Orthopaedic Hospital, Kakogawa, Japan; and Orthopaedic Trauma Associates, Dallas, Texas. Accepted for publication December 11, 2008. Reprints: Adam J. Starr, MD, Department of Orthopaedic Surgery, University of Texas Southwestern Medical Center, 5323 Harry Hines Boulevard, Dallas, TX 75390-8883 (e-mail: [email protected]). Journal of Orthopaedic Trauma: February 2009 - Volume 23 - Issue 2 - p 148-153 doi: 10.1097/BOT.0b013e3181987908 Buy Metrics Abstract A technique using an anterior midline incision with a medial parapatellar arthrotomy and a medial full-thickness skin flap for the open reduction and internal fixation of isolated medial tibial plateau fractures is presented. The approach is advocated as an alternative to a posteromedial approach when medial tibial plateau fractures are present alone. The anterior approach is simple and familiar for orthopaedic surgeons. It offers good visualization, simplifies reduction, and provides a functional scar if future procedures are necessary. © 2009 Lippincott Williams & Wilkins, Inc.