Percutaneous Plating of the Distal Tibia and Fibula: Risk of Injury to the Saphenous and Superficial Peroneal Nerves
Saphenous nerve
Superficial peroneal nerve
Peroneal Artery
Malleolus
Tibial nerve
Great saphenous vein
Sural nerve
Medial malleolus
Neurovascular bundle
DOI:
10.1097/bot.0b013e3181cb584f
Publication Date:
2010-07-27T01:28:40Z
AUTHORS (4)
ABSTRACT
Objectives: To assess the risk of injury to superficial peroneal nerve, saphenous and vein in percutaneous fixation distal fibula tibia. Methods: Ten adult cadaver lower extremities were instrumented with precontoured periarticular plates for tibia fibula. Plates inserted percutaneously along medial lateral Smooth wires into each screw hole. Dissection was performed their respective course. The position neurovascular structures relative smooth recorded. Results: nerve had a predictable course aspect ankle. Both injured every specimen. This occurred consistently at 2.0 4.7 cm from tip malleolus. demonstrated large variance exit point compartment crural fascia, exiting an average 11.6 Injury single specimen 11.5 this point. Conclusions: are during submuscular plating Careful dissection proximally distally can minimize damage these structures.
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