Reply to comment on Kritsaneephaiboon et al. 'minimally invasive plate osteosynthesis of distal tibial fracture using a posterolateral approach: A cadaveric study and preliminary report'

摘要

Thank you very much for your interest in our article [1]. We would like to answer your questions point by point as below. 1. To reduce the risk of neurovascular injury at the small proximal incision, it is very important to dissect in the right intermuscular plane by sharply dissecting the flexor hallucis longus (FHL) from the posterior mid fibula subperiosteally and then dissecting the tibialis posterior (TP) from the interosseous membrane. Subsequently, these two muscles (FHL and TP) are retracted medially to use as a cushion to protect the posterior tibial artery (PTA) and the tibial nerve (TN). No special retractor or any instruments are required.