title: A Complication of Posterior Malleolar Fracture Fixation.
abstract: We present a case of tibial nerve impingement by an anteroposterior screw inserted for stabilization of a posterior malleolar fracture. This specific complication has not previously been described in published studies, although numerous reports have described various forms of peripheral nerve entrapment. We discuss the merits of fixation of these fractures using a posterolateral approach.
authors.affiliation: Trauma and Orthopaedic Department, Tunbridge Wells Hospital, Kent, United Kingdom. Electronic address: ankitpatel@doctors.org.uk.
authors.forename: Ankit
authors.initials: A
authors.lastname: Patel
authors.affiliation: Trauma and Orthopaedic Department, Tunbridge Wells Hospital, Kent, United Kingdom.
authors.forename: Loren
authors.initials: L
authors.lastname: Charles
authors.affiliation: Trauma and Orthopaedic Department, Tunbridge Wells Hospital, Kent, United Kingdom.
authors.forename: James
authors.initials: J
authors.lastname: Ritchie
mesh_terms: D000328:Adult; D064386:Ankle Fractures / Q000601:surgery*; D016512:Ankle Injuries / Q000601:surgery; D001863:Bone Screws / Q000009:adverse effects*; D005260:Female; D005593:Fracture Fixation, Internal / Q000009:adverse effects* / Q000295:instrumentation; D006801:Humans; D009408:Nerve Compression Syndromes / Q000209:etiology / Q000601:surgery*; D013979:Tibial Nerve / Q000293:injuries* / Q000601:surgery; D020429:Tibial Neuropathy / Q000209:etiology / Q000601:surgery*
keywords: ankle; bone screws; internal fixation; nerve entrapment; sural nerve; tibial nerve; trimalleolar fracture