[Low postero-medial approach to the leg (author's transl)]

It is possible to prolong a postero-medial surgical approach to the leg as far as the tarsal canal in order to gain access to the posterioir aspect of the diaphysis and of the shaft of the tibia up to the tibio-tarsal line. The tendons and vessels must be displaced backwards, held by a tape and moved as necessary according to the desired approach. In addition, the morphology of the posterior aspect of the tibia is such that osteosynthesis is much simpler than via any other approach. Four years' experience of more than 30 cases enable the authors to advise the use of this approach in surgery of the lower end of the tibia.