previous section: 4/5 page: 1/5 next

4Inserting pins into tibial shaft

Tibial mid shaft level

Anatomical considerations

Mid shaft level
The neurovascular bundle (the anterior tibial artery and vein together with the deep peroneal nerve) run anterior to the interosseous membrane close to the posterolateral border of the tibia.

They are at risk if the pin is inserted in the direction as indicated by the red dotted line approximately half way between the anterior crest and the medial edge of the tibia.