Peroneal nerve damage associated with the proximal locking screws of the AIM tibial nail.
We report a case of division of the deep peroneal nerve resulting from a drill used in the insertion of an oblique proximal locking screw in an AIM tibial intramedullary nail (DePuy). Operative findings and anatomical study indicate there is a risk of damage to the peroneal nerve associated with the oblique proximal locking screws used in this nail design. If a patient has peroneal nerve palsy after nailing of the tibia, the possibility of nerve division should be considered, so that early exploration and repair of the nerve can be performed.
Hems
T E J
TE
Department of Orthopaedic Surgery, The Victoria Infirmary, South Glasgow University Hospitals NHS Trust, Glasgow G42 9TY, Scotland, UK. Timothy.Hems@gvic.scot.nhs.uk
Jones
B G
BG
D000063:Accidents, Traffic; D000293:Adolescent; D001858:Bone Nails; D001863:Bone Screws / Q000009:adverse effects*; D005260:Female; D005594:Fracture Fixation, Intramedullary / Q000009:adverse effects* / Q000379:methods; D006801:Humans; D010543:Peroneal Nerve / Q000293:injuries*; D013978:Tibial Fractures / Q000601:surgery*