{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T19:14:12Z","timestamp":1778008452673,"version":"3.51.4"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2021,2]]},"abstract":"\n Objectives:<\/jats:title>\n To determine the incidence of iatrogenic peroneal nerve palsy after application of an intraoperative lateral distractor during open reduction and internal fixation of tibial plateau fractures.<\/jats:p>\n <\/jats:sec>\n \n Design:<\/jats:title>\n Retrospective review.<\/jats:p>\n <\/jats:sec>\n \n Setting:<\/jats:title>\n Single academic Level I trauma center.<\/jats:p>\n <\/jats:sec>\n \n Patients:<\/jats:title>\n One hundred forty-seven patients met criteria and were included in the study.<\/jats:p>\n <\/jats:sec>\n \n Intervention:<\/jats:title>\n Patients with unicondylar and bicondylar tibial plateau fractures underwent open reduction and internal fixation and received application of an intraoperative lateral distractor to aid in visualization and reduction of the impacted lateral plateau.<\/jats:p>\n <\/jats:sec>\n \n Main Outcome Measurements:<\/jats:title>\n Incidence of iatrogenic peroneal nerve palsy.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n There was a 2.0% incidence of iatrogenic peroneal nerve symptoms (3 of 147 patients), most of which were incomplete sensory deficits. There was no association with staged external fixation, regional anesthesia, or tourniquet use.<\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n Use of an intraoperative lateral distractor is safe and has a low incidence of iatrogenic peroneal nerve palsy if applied carefully.<\/jats:p>\n <\/jats:sec>\n \n Level of Evidence:<\/jats:title>\n Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.<\/jats:p>\n <\/jats:sec>","DOI":"10.1097\/bot.0000000000001875","type":"journal-article","created":{"date-parts":[[2020,11,9]],"date-time":"2020-11-09T02:00:09Z","timestamp":1604887209000},"page":"e51-e55","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Lateral Distractor Use During Internal Fixation of Tibial Plateau Fractures Has a Minimal Risk of Iatrogenic Peroneal Nerve Palsy"],"prefix":"10.1097","volume":"35","author":[{"given":"Michael J.","family":"Chen","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brett P.","family":"Salazar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Seth S.","family":"Tigchelaar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher S.","family":"Frey","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Malcolm R.","family":"DeBaun","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L. Henry","family":"Goodnough","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael J.","family":"Bellino","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julius A.","family":"Bishop","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael J.","family":"Gardner","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-20250614","doi-asserted-by":"crossref","first-page":"158","DOI":"10.1097\/BOT.0000000000000762","article-title":"Outcome after tibial plateau fracture: how important is restoration of articular congruity?","volume":"31","author":"Singleton","year":"2017","journal-title":"J Orthop Trauma."},{"key":"R2-20250614","doi-asserted-by":"crossref","first-page":"146","DOI":"10.1097\/BOT.0000000000000735","article-title":"Incidence, risk factors, and location of articular malreductions of the tibial plateau","volume":"31","author":"Meulenkamp","year":"2017","journal-title":"J Orthop Trauma."},{"key":"R3-20250614","doi-asserted-by":"crossref","first-page":"2243","DOI":"10.1016\/j.injury.2015.06.043","article-title":"How much articular displacement can be detected using fluoroscopy for tibial plateau fractures?","volume":"46","author":"Haller","year":"2015","journal-title":"Injury."},{"issue":"suppl 2","key":"R4-20250614","doi-asserted-by":"crossref","first-page":"S28","DOI":"10.1097\/BOT.0000000000000581","article-title":"Open reduction and internal fixation of the tibial plateau through the anterolateral approach","volume":"30","author":"Hake","year":"2016","journal-title":"J Orthop Trauma."},{"key":"R5-20250614","doi-asserted-by":"crossref","first-page":"837","DOI":"10.1007\/s00167-018-5122-0","article-title":"A sub-meniscal arthrotomy improves the medium-term patient outcome of tibial plateau fractures","volume":"27","author":"Buckley","year":"2019","journal-title":"Knee Surg Sports Traumatol Arthrosc."},{"key":"R6-20250614","doi-asserted-by":"crossref","first-page":"359","DOI":"10.1097\/BOT.0000000000001748","article-title":"Iatrogenic peroneal nerve palsy rates secondary to open reduction internal fixation for tibial plateau fractures using an intraoperative distractor","volume":"34","author":"Pattyn","year":"2020","journal-title":"J Orthop Trauma."},{"key":"R7-20250614","doi-asserted-by":"crossref","first-page":"S1","DOI":"10.1097\/00005131-200711101-00001","article-title":"Fracture and dislocation classification compendium\u20142007: Orthopaedic Trauma Association classification, database and outcomes committee","volume":"21","author":"Marsh","year":"2007","journal-title":"J Orthop Trauma."},{"key":"R8-20250614","doi-asserted-by":"crossref","first-page":"742","DOI":"10.1097\/00005373-198408000-00009","article-title":"Problems in the management of type III (severe) open fractures: a new classification of type III open fractures","volume":"24","author":"Gustilo","year":"1984","journal-title":"J Trauma."},{"key":"R10-20250614","doi-asserted-by":"crossref","first-page":"342","DOI":"10.4239\/wjd.v7.i17.342","article-title":"Entrapment neuropathies in diabetes mellitus","volume":"7","author":"Rota","year":"2016","journal-title":"World J Diabetes."},{"key":"R11-20250614","doi-asserted-by":"crossref","first-page":"435","DOI":"10.1097\/00115550-200809000-00006","article-title":"Pathophysiology of peripheral nerve injury during regional anesthesia","volume":"33","author":"Hogan","year":"2008","journal-title":"Reg Anesth Pain Med."}],"container-title":["Journal of Orthopaedic Trauma"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/10.1097\/BOT.0000000000001875","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,6,14]],"date-time":"2025-06-14T19:04:18Z","timestamp":1749927858000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1097\/BOT.0000000000001875"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,2]]},"references-count":10,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2021]]}},"URL":"https:\/\/doi.org\/10.1097\/bot.0000000000001875","relation":{},"ISSN":["0890-5339"],"issn-type":[{"value":"0890-5339","type":"print"}],"subject":[],"published":{"date-parts":[[2021,2]]},"assertion":[{"value":"2020-06-16","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}