Minimally invasive plating of the distal tibia: Do we really sacrifice saphenous vein and nerve? A cadaver study

Journal of Orthopaedic Trauma

Volumn 23, Issue 2, 2009, Pages 132-138

  Ozsoy, Mehmet Hakan ^a,d   Tuccar, Eray ^b   Demiryurek, Deniz ^c   Bayramoglu, Alp ^c   Hayran, Mutlu ^c   Cavusoglu, Ali Turgay ^a   Dincel, Veysel Ercan ^a   Sakaogullari, Abdurrahman ^a  

^a ANKARA TRAINING AND RESEARCH HOSPITAL   (Turkey)

^b ANKARA UNIVERSITY   (Turkey)

^c HACETTEPE UNIVERSITY   (Turkey)

^d Ankara E itim ve Ara tirma Hastanesi   (Turkey)

Author keywords

Great saphenous vein; Minimally invasive plate; MIPO; Saphenous nerve; Tibia

Indexed keywords

ARTICLE; BONE PLATE; CADAVER; HUMAN; HUMAN TISSUE; METAPHYSIS; MINIMALLY INVASIVE SURGERY; NERVE INJURY; PRIORITY JOURNAL; RISK ASSESSMENT; SAPHENOUS NERVE; SAPHENOUS VEIN; SURGICAL ANATOMY; TIBIA; VEIN INJURY; ADULT; AGED; BONE SCREW; FEMALE; FRACTURE FIXATION; HISTOLOGY; INJURY; INNERVATION; INSTRUMENTATION; LEG; MALE; METHODOLOGY; MIDDLE AGED; PERIPHERAL NERVE; POSTOPERATIVE COMPLICATION; TIBIA FRACTURE; VASCULARIZATION;

ADULT; AGED; AGED, 80 AND OVER; BONE PLATES; BONE SCREWS; CADAVER; FEMALE; FRACTURE FIXATION; HUMANS; LOWER EXTREMITY; MALE; MIDDLE AGED; PERIPHERAL NERVES; POSTOPERATIVE COMPLICATIONS; SAPHENOUS VEIN; SURGICAL PROCEDURES, MINIMALLY INVASIVE; TIBIA; TIBIAL FRACTURES; YOUNG ADULT;

EID: 61549099020     PISSN: 08905339     EISSN: None     Source Type: Journal    
DOI: 10.1097/BOT.0b013e3181969993     Document Type: Article

References (31)

1. Bedi A, Le TT, Karunakar MA. Surgical treatment of nonarticular distal tibia fractures. J Am Acad Orthop Surg. 2006;14:406-416. (Pubitemid 44916642)
2. Blauth M, Bastian L, Krettek C, et al. Surgical options for the treatment of severe tibial pilon fractures: a study of three techniques. J Orthop Trauma. 2001;15:153-160. (Pubitemid 33599794)
3. Zelle BA, Bhandari M, Espiritu M, et al. Treatment of distal tibia fractures without articular involvement: a systematic review of 1125 fractures. J Orthop Trauma. 2006;20:76-79. (Pubitemid 44378203)
4. Aktuglu K, Ozsoy MH, Yensel U. Treatment of displaced pylon fractures with circular external fixators of Ilizarov. Foot Ankle Int. 1998;19:208-216. (Pubitemid 28210906)
5. Teeny SM, Wiss DA. Open reduction and internal fixation of tibial plafond fractures. Variables contributing to poor results and complications. Clin Orthop Relat Res. 1993;292:108-117.
6. Dillin L, Slabaugh P. Delayed wound healing, infection, and nonunion following open reduction and internal fixation of tibial plafond fractures. J Trauma. 1986;26:1116-1119. (Pubitemid 17226186)
7. Morgan SJ, Jeray KJ. Minimally invasive plate osteosynthesis in fractures of the tibia. Oper Tech Orthop. 2001;11:195-204. (Pubitemid 33077359)
8. Helfet DL, Shonnard PY, Levine D, et al. Minimally invasive plate osteosynthesis of distal fractures of the tibia. Injury. 1997;28(Suppl 1):A42-A47. (Pubitemid 127673733)
9. Collinge C, Sanders R, DiPasquale T. Treatment of complex tibial periarticular fractures using percutaneous techniques. Clin Orthop Relat Res. 2000;375:69-77. (Pubitemid 30366576)
10. Oh CW, Kyung HS, Park IH, et al. Distal tibia metaphyseal fractures treated by percutaneous plate osteosynthesis. Clin Orthop Relat Res. 2003;408:286-291. (Pubitemid 36307520)
11. Maffulli N, Toms AD, McMurtie A, et al. Percutaneous plating of distal tibial fractures. Int Orthop. 2004;28:159-162. (Pubitemid 38878840)
12. Redfern DJ, Syed SU, Davies SJ. Fractures of the distal tibia: minimally invasive plate osteosynthesis. Injury. 2004;35:615-620. (Pubitemid 38595398)
13. Collinge C, Kuper M, Larson K, et al. Minimally invasive plating of high-energy metaphyseal distal tibia fractures. J Orthop Trauma. 2007;21:355-361. (Pubitemid 47051864)
14. Hazarika S, Chakravarthy J, Cooper J. Minimally invasive locking plate osteosynthesis for fractures of the distal tibia - results in 20 patients. Injury. 2006;37:877-887. (Pubitemid 44223509)
15. Borg T, Larsson S, Lindsjö U. Percutaneous plating of distal tibial fractures. Preliminary results in 21 patients. Injury. 2004;35:608-614.
16. Hasenboehler E, Rikli D, Babst R. Locking compression plate with minimally invasive plate osteosynthesis in diaphyseal and distal tibial fracture: a retrospective study of 32 patients. Injury. 2007;38:365-370. (Pubitemid 46328922)
17. Krackhardt T, Dilger J, Flesch I, et al. Fractures of the distal tibia treated with closed reduction and minimally invasive plating. Arch Orthop Trauma Surg. 2005;125:87-94. (Pubitemid 40439333)
18. Lau TW, Leung F, Chan CF, et al. Wound complication of minimally invasive plate osteosynthesis in distal tibia fractures. Int Orthop. 2008;32:697-703.
19. Price C. The anatomy of the saphenous nerve in the lower leg with particular reference to its relationship to the long saphenous vein. J Cardiovasc Surg (Torino). 1990;31:294-297. (Pubitemid 20334370)
20. Akagi D, Arita H, Komiyama T, et al. Objective assessment of nerve injury after greater saphenous vein stripping. Eur J Vasc Endovasc Surg. 2007;33:625-630. (Pubitemid 46547474)
21. Subramonia S, Lees T. Sensory abnormalities and bruising after long saphenous vein stripping: impact on short-term quality of life. J Vasc Surg. 2005;42:510-514. (Pubitemid 41323843)
22. Wood JJ, Chant H, Laugharne M, et al. A prospective study of cutaneous nerve injury following long saphenous vein surgery. Eur J Vasc Endovasc Surg. 2005;30:654-658. (Pubitemid 41782544)
23. Morrison C, Dalsing MC. Signs and symptoms of saphenous nerve injury after greater saphenous vein stripping: prevalence, severity, and relevance for modern practice. J Vasc Surg. 2003;38:886-890. (Pubitemid 37409617)
24. Budillon AM, Zoffoli G, Nicolini F, et al. Neurologic symptoms after great saphenous vein harvesting for coronary artery bypass grafting. J Cardiovasc Surg (Torino). 2003;44:707-711. (Pubitemid 38196141)
25. Sam RC, Silverman SH, Bradbury AW. Nerve injuries and varicose vein surgery. Eur J Vasc Endovasc Surg. 2004;27:113-120. (Pubitemid 38111676)
26. Pai V, Coulter G, Pai V. Minimally invasive plate fixation of the tibia. Int Orthop. 2007;31:491-496. (Pubitemid 47101378)
27. Paletta CE, Huang DB, Fiore AC, et al. Major leg wound complications after saphenous vein harvest for coronary revascularization. Ann Thorac Surg. 2000;70:492-497.
28. 3.5 mm LCP Medial Distal Tibia Plate. Technique Guide - Distal Tibia. Paoli, PA: Synthes, USA; 2008. Available at: http://products.synthes.com/KYO-US/ kyo-us-trauma/home/pdfframeset.asp?MEDBODYRGN=DISTAL%20TIBIA&MEDPRODFAMILY= PLATES%20AND%20SCREWS&MEDPRODNAME=3. 5%20MM%20LCP%20MEDIAL%20DISTAL%20TIBIA%20PLATE.
29. Thomson H. The surgical anatomy of the superficial and perforating veins of the lower limb. Ann R Coll Surg Engl. 1979;61:198-205. (Pubitemid 9149033)
30. Roberts CS, King D, Wang M, et al. Should distal interlocking of tibial nails be performed from a medial or a lateral direction? Anatomical and biomechanical considerations. J Orthop Trauma. 1999;13:27-32.
31. Holme JB, Holme K, Sørensen LS. The anatomic relationship between the long saphenous vein and the saphenous nerve. Relevance for radical varicose vein surgery. Acta Chir Scand. 1988;154:631-633.