{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T01:56:24Z","timestamp":1792634184822,"version":"4.5.0"},"reference-count":39,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2021,9,8]],"date-time":"2021-09-08T00:00:00Z","timestamp":1631059200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2021,9,8]],"date-time":"2021-09-08T00:00:00Z","timestamp":1631059200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"},{"start":{"date-parts":[[2021,9,8]],"date-time":"2021-09-08T00:00:00Z","timestamp":1631059200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>This study aims to evaluate the proximity of the tendon stripper to both the peroneal and sural nerves during peroneus longus tendon (PLT) autograft harvesting.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Ten fresh\u2013frozen human cadaveric lower extremities were used to harvest a full\u2010thickness PLT autograft using a standard closed blunt\u2010ended tendon stripper. The distance to the sural nerve from the PLT (at 0, 1, 2 and 3\u00a0cm proximal to lateral malleolus (LM), and the distance to the peroneal nerve and its branches from the end of the tendon stripper were measured by two separate observers using ImageJ software.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The average distance from the PLT to the sural nerve increased significantly from 0 to 2\u00a0cm proximal to LM. The average distance to the sural nerve at the LM was 4.9\u2009\u00b1\u20091.5\u00a0mm and increased to 10.8\u2009\u00b1\u20092.4\u00a0mm (2\u00a0cm proximal to LM). The average distance from the tendon stripper to the deep peroneal nerve was 52.9\u2009\u00b1\u200911.4\u00a0mm. The average distance to the PLT branch of peroneal nerve was 29.3\u2009\u00b1\u20094.2\u00a0mm. The superficial peroneal nerve, which coursed parallel and deep to the tendon stripper, was on average 5.2\u2009\u00b1\u20090.7\u00a0mm from the end of the stripper. No transection injuries of the nerves were observed in any of the ten legs after harvesting.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This cadaver study found during a full\u2010thickness PLT harvest, the distances between the tendon stripper and the nerves were greater than 5\u00a0mm with an initial incision at 2\u00a0cm proximal to LM which is recommended.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00167-021-06698-2","type":"journal-article","created":{"date-parts":[[2021,9,8]],"date-time":"2021-09-08T13:02:48Z","timestamp":1631106168000},"page":"109-115","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Low to moderate risk of nerve damage during peroneus longus tendon autograft harvest"],"prefix":"10.1002","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0277-3819","authenticated-orcid":false,"given":"Jinshen","family":"He","sequence":"first","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopaedic Surgery University of Pittsburgh Medical Center 15213 Pittsburgh PA USA"},{"name":"<!--<label>2<\/label>--> Department of Orthopaedic Surgery Third Xiangya Hospital of Central South University 410013 Changsha Hunan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin","family":"Byrne","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopaedic Surgery University of Pittsburgh Medical Center 15213 Pittsburgh PA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroko","family":"Ueki","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopaedic Surgery University of Pittsburgh Medical Center 15213 Pittsburgh PA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryo","family":"Kanto","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopaedic Surgery University of Pittsburgh Medical Center 15213 Pittsburgh PA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Monica A.","family":"Linde","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopaedic Surgery University of Pittsburgh Medical Center 15213 Pittsburgh PA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick","family":"Smolinski","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopaedic Surgery University of Pittsburgh Medical Center 15213 Pittsburgh PA USA"},{"name":"<!--<label>3<\/label>--> Department of Mechanical Engineering and Material Science University of Pittsburgh 15213 Pittsburgh PA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Song","family":"Wu","sequence":"additional","affiliation":[{"name":"<!--<label>2<\/label>--> Department of Orthopaedic Surgery Third Xiangya Hospital of Central South University 410013 Changsha Hunan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7821-4269","authenticated-orcid":false,"given":"Freddie","family":"Fu","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopaedic Surgery University of Pittsburgh Medical Center 15213 Pittsburgh PA USA"},{"name":"<!--<label>3<\/label>--> Department of Mechanical Engineering and Material Science University of Pittsburgh 15213 Pittsburgh PA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,9,8]]},"reference":[{"key":"e_1_2_11_2_2","doi-asserted-by":"publisher","DOI":"10.1177\/107110070502600712"},{"key":"e_1_2_11_3_2","first-page":"555","article-title":"The anterior cruciate ligament reconstruction with the peroneus longus tendon: a biomechanical and clinical evaluation of the donor ankle morbidity","volume":"98","author":"Angthong C","year":"2015","journal-title":"J Med Assoc Thail"},{"key":"e_1_2_11_4_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13102\u2010018\u20100112\u20106"},{"key":"e_1_2_11_5_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.G.01342"},{"key":"e_1_2_11_6_2","doi-asserted-by":"publisher","DOI":"10.1177\/26350254211009888"},{"key":"e_1_2_11_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006534\u2010200201000\u201000024"},{"key":"e_1_2_11_8_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.19.01395"},{"key":"e_1_2_11_9_2","doi-asserted-by":"publisher","DOI":"10.1037\/1040\u20103590.6.4.284"},{"key":"e_1_2_11_10_2","doi-asserted-by":"publisher","DOI":"10.1002\/ca.21068"},{"key":"e_1_2_11_11_2","doi-asserted-by":"crossref","unstructured":"Encarnaci\u00f3n\u2010Mart\u00ednezA Sanchis\u2010SanchisR P\u00e9rez\u2010SorianoP Garc\u00eda\u2010GallartA(2020)Relationship between muscular extensibility strength and stability and the transmission of impacts during fatigued running.Sport Biomech.https:\/\/doi.org\/10.1080\/14763141.2020.1797863","DOI":"10.1080\/14763141.2020.1797863"},{"key":"e_1_2_11_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2020.10.030"},{"key":"e_1_2_11_13_2","doi-asserted-by":"publisher","DOI":"10.1177\/1071100717709572"},{"key":"e_1_2_11_14_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010018\u20104858\u2010x"},{"key":"e_1_2_11_15_2","doi-asserted-by":"publisher","DOI":"10.20982\/tqmp.08.1.p023"},{"key":"e_1_2_11_16_2","doi-asserted-by":"crossref","unstructured":"HeJ TangQ ErnstS LindeMA SmolinskiP WuS FuF(2020)Peroneus longus tendon autograft has functional outcomes comparable to hamstring tendon autograft for anterior cruciate ligament reconstruction: a systematic review and meta\u2010analysis.Knee Surg Sports Traumatol Arthrosc.https:\/\/doi.org\/10.1007\/s00167\u2010020\u201006279\u20109","DOI":"10.1007\/s00167-020-06279-9"},{"key":"e_1_2_11_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2014.07.014"},{"key":"e_1_2_11_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.aanat.2018.05.002"},{"key":"e_1_2_11_19_2","doi-asserted-by":"publisher","DOI":"10.3113\/FAI.2010.0880"},{"key":"e_1_2_11_20_2","doi-asserted-by":"publisher","DOI":"10.3944\/AOTT.2008.038"},{"key":"e_1_2_11_21_2","doi-asserted-by":"publisher","DOI":"10.1177\/107110079501601110"},{"key":"e_1_2_11_22_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546520933628"},{"key":"e_1_2_11_23_2","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports\u20102013\u2010092299"},{"key":"e_1_2_11_24_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010019\u201005373\u2010x"},{"key":"e_1_2_11_25_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2018.07.011"},{"key":"e_1_2_11_26_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00276\u2010001\u20100307\u20104"},{"key":"e_1_2_11_27_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMcp1805931"},{"key":"e_1_2_11_28_2","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports\u20102019\u2010100755"},{"key":"e_1_2_11_29_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-019-05438-x"},{"key":"e_1_2_11_30_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010019\u201005455\u2010w"},{"key":"e_1_2_11_31_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcot.2019.09.004"},{"key":"e_1_2_11_32_2","doi-asserted-by":"publisher","DOI":"10.1177\/2325967119872462"},{"key":"e_1_2_11_33_2","first-page":"271","article-title":"The anatomy and morphology of the superficial peroneal nerve","volume":"32","author":"Ribak S","year":"2016","journal-title":"J Reconstr Microsurg"},{"key":"e_1_2_11_34_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amsu.2019.05.009"},{"key":"e_1_2_11_35_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301\u2010620X.102B2.BJJ\u20102019\u20100949.R1"},{"key":"e_1_2_11_36_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1469\u20107580.2001.19960717.x"},{"key":"e_1_2_11_37_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2019.07.024"},{"key":"e_1_2_11_38_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00276\u2010013\u20101242\u2010x"},{"key":"e_1_2_11_39_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546511428782"},{"key":"e_1_2_11_40_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546512439193"}],"container-title":["Knee Surgery, Sports Traumatology, Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00167-021-06698-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00167-021-06698-2\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00167-021-06698-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"},{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1007\/s00167-021-06698-2","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,19]],"date-time":"2025-10-19T08:51:41Z","timestamp":1760863901000},"score":1,"resource":{"primary":{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/10.1007\/s00167-021-06698-2"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,9,8]]},"references-count":39,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2022,1]]}},"alternative-id":["10.1007\/s00167-021-06698-2"],"URL":"https:\/\/doi.org\/10.1007\/s00167-021-06698-2","archive":["Portico"],"relation":{},"ISSN":["0942-2056","1433-7347"],"issn-type":[{"value":"0942-2056","type":"print"},{"value":"1433-7347","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,9,8]]},"assertion":[{"value":"17 May 2021","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"10 August 2021","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"8 September 2021","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare no conflicts of interest.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"Approval for this study and use of cadaver specimens was obtained from the University of Pittsburgh Committee for Oversight of Research and Clinical Training Involving Decedents (CORID #453).","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"No informed consent was required for this study.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}}]}}