Before closing the wound, remove additional cancellous bone from the proximal end of the tibia with a curet.Take care to avoid the articular surface of the tibia or in a child the physis.

• 在关闭切口之前，用刮匙在胫骨近端取一些松质骨，但要注意不要损伤胫骨近端的关节面，在儿童不要损伤骺板。