Anatomy of the superficial peroneal nerve in relation to fixation of tibia fractures with the less invasive stabilization system.

摘要: Objective To examine the danger to superficial peroneal nerve during percutaneous screw placement in distal holes of 13-hole proximal tibia Less Invasive Stabilization System plate a cadaver. Design Anatomic study. Setting Medical school anatomy laboratory. Interventions Fourteen adult cadaveric lower extremities were used. A was placed as described by manufacturer. Dissection performed following localization 7 through 13 using insertion sleeves, centering and 2.0-mm Kirschner wires passed guide. Results The average distance from center 11, 12, 10.0 mm (range 0-21, standard deviation 5.6), 6.8 0-16, 4.3), 2.7 (0-11, 3.7), respectively. In 12 14 legs (86%), 5.0 or less hole 13. touching guide wire at 11 1 specimen (7%), 2 specimens (14%), 6 (43%). pierced Conclusion These findings suggest that is significant risk plate. Use larger incision careful dissection down this region may minimize damage nerve.