open access

Vol 70, No 2 (2011)
ORIGINAL ARTICLES
Published online: 2011-06-01
Submitted: 2012-06-27
Get Citation

Lateral approach to the ankle and distal leg

T. Sen, K. Basarir, A.F. Esmer, M. Armangil, E. Tuccar, S.T. Karahan
Folia Morphol 2011;70(2):91-94.

open access

Vol 70, No 2 (2011)
ORIGINAL ARTICLES
Published online: 2011-06-01
Submitted: 2012-06-27

Abstract

Fractures of the distal tibia are usually high-energy injuries and are well known for their soft tissue complications after surgery. Various factors have been studied regarding the possibility of them reducing the incidence of such damage, including timing of surgery, staged surgery, fixation method, and surgical approach. Less invasive surgical techniques with vascularity preserving approaches were proposed as reasonable solutions to this problem. The aim of this study was to investigate the presence of minor vascular structures, which can be preserved during anterolateral approach, possibly contributing to the success of the approach. Lateral approach for the distal tibia was performed in 22 cadaver feet. The mean distance between the lateral malleolus and the superficial peroneal nerve was 12.2 cm. Two different vascular pedicles, from peroneal vessels to muscles of the anterior compartment, were 4.3 and 8.2 cm away from the lateral malleolus, respectively. We conclude that preserving greater vascularity was possible in the lateral approach for the distal tibia, placing the plate in a completely submuscular plane. (Folia Morphol 2011; 70, 2: 91–94)

Abstract

Fractures of the distal tibia are usually high-energy injuries and are well known for their soft tissue complications after surgery. Various factors have been studied regarding the possibility of them reducing the incidence of such damage, including timing of surgery, staged surgery, fixation method, and surgical approach. Less invasive surgical techniques with vascularity preserving approaches were proposed as reasonable solutions to this problem. The aim of this study was to investigate the presence of minor vascular structures, which can be preserved during anterolateral approach, possibly contributing to the success of the approach. Lateral approach for the distal tibia was performed in 22 cadaver feet. The mean distance between the lateral malleolus and the superficial peroneal nerve was 12.2 cm. Two different vascular pedicles, from peroneal vessels to muscles of the anterior compartment, were 4.3 and 8.2 cm away from the lateral malleolus, respectively. We conclude that preserving greater vascularity was possible in the lateral approach for the distal tibia, placing the plate in a completely submuscular plane. (Folia Morphol 2011; 70, 2: 91–94)
Get Citation

Keywords

distal tibial fractures; anatomy; peroneal vessels

About this article
Title

Lateral approach to the ankle and distal leg

Journal

Folia Morphologica

Issue

Vol 70, No 2 (2011)

Pages

91-94

Published online

2011-06-01

Bibliographic record

Folia Morphol 2011;70(2):91-94.

Keywords

distal tibial fractures
anatomy
peroneal vessels

Authors

T. Sen
K. Basarir
A.F. Esmer
M. Armangil
E. Tuccar
S.T. Karahan

Important: This website uses cookies. More >>

The cookies allow us to identify your computer and find out details about your last visit. They remembering whether you've visited the site before, so that you remain logged in - or to help us work out how many new website visitors we get each month. Most internet browsers accept cookies automatically, but you can change the settings of your browser to erase cookies or prevent automatic acceptance if you prefer.

By  "Via Medica sp. z o.o." sp.k., Świętokrzyska 73, 80–180 Gdańsk, Poland

tel.:+48 58 320 94 94, faks:+48 58 320 94 60, e-mail:  viamedica@viamedica.pl