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

B. G. Jones, R. Mehin, D. Young

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6 Citations (Scopus)


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.

Original languageEnglish
Pages (from-to)1495-1497
Number of pages3
JournalJournal of Bone & Joint Surgery
Issue number11
Publication statusPublished - 1 Nov 2007


  • tibial nailing
  • cross screw
  • oblique locking screw
  • tibiae

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