Safe zone in the midshaft of the tibia
The neurovascular bundle with the anterior tibial artery and vein, together
with the deep peroneal nerve, runs close to the posterolateral border of the
These structures are at risk if the pin is inserted in the direction
indicated by the red dotted line.
The pins in the tibia should start approximately 1 cm medial to the tibial
crest, on the anteromedial aspect of the tibia, and are angled approximately
20° from the sagittal plane.