Distal zone of the tibia
When inserting pins in the distal zone take into account the position of the
anterior tibial artery and vein. Percutaneous insertion of pins in this area is
dangerous. A minimal incision will allow preparation and safe insertion.
The peroneal bundle is located very close to the posterolateral border of
the tibia and therefore at risk if pins are inserted in this direction.
Pins at this level should be inserted as shown in the illustration from
anteromedial to posterolateral. A second pin can be inserted from medial to
anterolateral, ventral to the fibula.