Anatomy of the superficial peroneal nerve in relation to fixation of tibia fractures with the less invasive stabilization system
Department of Orthopedics and Physical Rehabilitation
Medical Subject Headings
Bone Screws; Fracture Fixation; Humans; Peroneal Nerve; Surgical Procedures, Minimally Invasive; Tibial Fractures
Orthopedics | Rehabilitation and Therapy
OBJECTIVE: To examine the danger to the superficial peroneal nerve during percutaneous screw placement in the distal holes of the 13-hole proximal tibia Less Invasive Stabilization System plate in a cadaver.
DESIGN: Anatomic study.
SETTING: Medical school anatomy laboratory.
INTERVENTIONS: Fourteen adult cadaveric lower extremities were used. A 13-hole proximal tibia Less Invasive Stabilization System plate was placed as described by the manufacturer. Dissection of the superficial peroneal nerve was performed following localization of screw holes 7 through 13 using insertion sleeves, centering sleeves, and 2.0-mm Kirschner wires passed through the insertion guide.
RESULTS: The average distance from the superficial peroneal nerve to the center of holes 11, 12, and 13 was 10.0 mm (range 0-21, standard deviation 5.6), 6.8 mm (range 0-16, standard deviation 4.3), and 2.7 mm (0-11, standard deviation 3.7), respectively. In 12 of 14 legs (86%), the superficial peroneal nerve was 5.0 mm or less from the center of hole 13. The nerve was touching the guide wire at hole 11 in 1 specimen (7%), at hole 12 in 2 specimens (14%), and at hole 13 in 6 specimens (43%). In 1 specimen (7%), the guide wire pierced the superficial peroneal nerve at hole 13.
CONCLUSION: These findings suggest that the superficial peroneal nerve is at significant risk during percutaneous screw placement in holes 11 through 13 of the 13-hole proximal tibia Less Invasive Stabilization System plate. Use of a larger incision and careful dissection down to the plate in this region may minimize the risk of damage to the nerve.
Rights and Permissions
Citation: J Orthop Trauma. 2004 Sep;18(8):536-9. Link to article on publisher's website