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Distal Femur, Tibial Plateau, and Tibial Shaft Fractures

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Peripheral Nerve Issues after Orthopedic Surgery

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Abstract

The majority of lower extremity peripheral nerve injury results from high-energy trauma and motor vehicle collisions, resulting in fractures about the knee including those of the distal femur and tibial plateau, as well as fractures of the tibial shaft. This chapter describes, in detail, the anatomy of the common peroneal, superficial peroneal, deep peroneal, tibial, saphenous, and sural nerves, as well as their anatomic variants. Common approaches to each fracture pattern are described with accompanying tips to avoiding nerve injury. The diagnosis and management of nerve injuries are then reviewed, including nerve grafting, nerve transfer, tendon transfers, and arthrodesis options.

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Authors and Affiliations

  1. Department of Plastic and Reconstructive Surgery, Western University, London, ON, Canada

    Kitty Wu

  2. Department of Orthopedic Surgery, Washington University School of Medicine, St. Louis, MO, USA

    Mitchel R. Obey & Marschall B. Berkes

  3. Department of Orthopedic Surgery, Washington University, St. Louis, MO, USA

    Christopher J. Dy

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  1. Kitty Wu
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  4. Marschall B. Berkes
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Correspondence to Marschall B. Berkes .

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Editors and Affiliations

  1. Department of Orthopedic Surgery, Washington University, St. Louis, MO, USA

    Christopher J. Dy

  2. Department of Orthopedic Surgery, Washington University, St. Louis, MO, USA

    David M. Brogan

  3. Department of Orthopedic Surgery, Emory University, Atlanta, GA, USA

    Eric R. Wagner

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Wu, K., Obey, M.R., Dy, C.J., Berkes, M.B. (2022). Distal Femur, Tibial Plateau, and Tibial Shaft Fractures. In: Dy, C.J., Brogan, D.M., Wagner, E.R. (eds) Peripheral Nerve Issues after Orthopedic Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-84428-8_13

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