Anatomical study of the placement of proximal oblique locking screws in intramedullary tibial nailing

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Jones, B. G. and Mehin, R. and Young, D. (2007) Anatomical study of the placement of proximal oblique locking screws in intramedullary tibial nailing. Journal of Bone & Joint Surgery, 89 (11). pp. 1495-1497. ISSN 0301-620X (https://doi.org/10.1302/0301-620X.89B11.19018)

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Abstract

Intramedullary tibial nailing was performed in ten paired cadavers and the insertion of a medial-to-lateral proximal oblique locking screw was simulated in each specimen. Anatomical dissection was undertaken to determine the relationship of the common peroneal nerve to the cross-screw. The common peroneal nerve was contacted directly in four tibiae and the cross-screw was a mean of 2.6 mm (1.0 to 10.7) away from the nerve in the remaining 16. Iatrogenic injury to the common peroneal nerve by medial-to-lateral proximal oblique locking screws is therefore a significant risk during tibial nailing.

ORCID iDs

Jones, B. G., Mehin, R. and Young, D. ORCID logoORCID: https://orcid.org/0000-0002-3652-0513;
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