Fig. 5

a Osteosynthesis with anterior tibial T-buttress plate was carried out 3.5 months later since injury. b There was fracture union 2.5 years post-operatively. c The implants were removed under assistance of endoscopy. d, e The soft tissue was hard without extensibility and the working space was relatively limited, so the electric dissector as well as mosquito or pean clamps were helpful to remove scar tissue and identify screws