Aydoğdu S, Yercan H, Saylam C, Sur H
Department of Orthopedics, School of Medicine, Ege University, Bornova, Izmir, Turkey.
Acta Orthop Belg. 1996 Sep;62(3):156-60.
An anatomical cadaver study was carried out on 13 human cadavers to disclose the close anatomical relationship between the peroneal nerve and the surgical area of the high tibial osteotomy techniques. The common peroneal nerve passes within 3 to 6 mm. of the posterior aspect of the fibular head and neck and divides into its superficial and deep branches, 22 to 28 mm. distal to the fibular apex. Generally the extensor hallucis longus (EHL) muscle is innervated by one of the motor branches of the deep peroneal nerve which is anatomically located 74 to 82 mm. distal to the fibular apex. To avoid neurological complications with a high tibial osteotomy, fibular osteotomy should be carried out at the junction of the middle and distal thirds of the fibula without excessive medial and anterior displacement of fragments; a small fibular segment should be resected in knees which have a severe deformity and need a significant angle correction.
对13具人体尸体进行了一项解剖学尸体研究，以揭示腓总神经与高位胫骨截骨术手术区域之间紧密的解剖关系。腓总神经在腓骨头和颈部后方3至6毫米范围内通过，并在腓骨尖远端22至28毫米处分为浅支和深支。一般来说，拇长伸肌（EHL）由腓深神经的一个运动分支支配，该分支在解剖学上位于腓骨尖远端74至82毫米处。为避免高位胫骨截骨术出现神经并发症，腓骨截骨应在腓骨中、下三分之一交界处进行，且骨折碎片不要过度向内和向前移位；对于严重畸形且需要大幅角度矫正的膝关节，应切除一小段腓骨。
