{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T05:38:53Z","timestamp":1778132333962,"version":"3.51.4"},"reference-count":9,"publisher":"British Editorial Society of Bone & Joint Surgery","issue":"7","license":[{"start":{"date-parts":[[2010,7,1]],"date-time":"2010-07-01T00:00:00Z","timestamp":1277942400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/online.boneandjoint.org.uk\/TDM"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Journal of Bone and Joint Surgery. British volume"],"published-print":{"date-parts":[[2010,7]]},"abstract":"<jats:p> Anatomical atlases document safe corridors for placement of wires when using fine-wire circular external fixation. The furthest posterolateral corridor described in the distal tibia is through the fibula. This limits the crossing angle and stability of the frame. In this paper we describe a new, safe Retro-Fibular Wire corridor, which provides greater crossing angles and increased stability. In a cadaver study, 20 formalin-treated legs were divided into two groups. Wires were inserted into the distal quarter of the tibia using two possible corridors and standard techniques of dissection identified the distance of the wires from neurovascular structures. <\/jats:p><jats:p> In both groups the posterior tibial neurovascular bundle was avoided. In group A the peroneal artery was at risk. In group B this injury was avoided. Comparison of the groups showed a significant difference (p &lt; 0.001). <\/jats:p><jats:p> We recommend the Retro-Fibular wire technique whereby wires are inserted into the tibia mid-way between the posteromedial border of the fibula and the tendo Achillis, at 30\u00b0 to 45\u00b0 to the sagittal plane, and introduced from a posterolateral to an anteromedial position. Subsequently, when using this technique in 30 patients, we have had no neurovascular complications or problems relating to tethering of the peroneal tendons. <\/jats:p>","DOI":"10.1302\/0301-620x.92b7.23543","type":"journal-article","created":{"date-parts":[[2010,6,30]],"date-time":"2010-06-30T23:29:28Z","timestamp":1277940568000},"page":"1041-1044","source":"Crossref","is-referenced-by-count":5,"title":["The \u2018Retro-Fibular Wire\u2019"],"prefix":"10.1302","volume":"92-B","author":[{"given":"P. R.","family":"Loughenbury","sequence":"first","affiliation":[{"name":"Department of Trauma & Orthopaedics Leeds General Infirmary, Great George Street, Leeds LS1 3EX, UK."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P. J.","family":"Harwood","sequence":"additional","affiliation":[{"name":"Department of Trauma & Orthopaedics Leeds General Infirmary, Great George Street, Leeds LS1 3EX, UK."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R.","family":"Tunstall","sequence":"additional","affiliation":[{"name":"School of Graduate Entry, Medicine & Health, University of Nottingham, Royal Derby Hospital, Uttoxeter Road, Derby DE22 3DT, UK."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.","family":"Britten","sequence":"additional","affiliation":[{"name":"Department of Trauma & Orthopaedics Leeds General Infirmary, Great George Street, Leeds LS1 3EX, UK."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"42","reference":[{"key":"R1","doi-asserted-by":"crossref","unstructured":"Fleming B, Paley D, Kristiansen T, Pope M. A biomechanical analysis of the Ilizarov external fixator. Clin Orthop 1989;241:95\u2013105.","DOI":"10.1097\/00003086-198904000-00012"},{"key":"R2","doi-asserted-by":"crossref","unstructured":"Orbay GL, Frankel VH, Kummer FJ. The effect of wire configuration on the stability of the Ilizarov external fixator. Clin Orthop 1992;279:299\u2013302.","DOI":"10.1097\/00003086-199206000-00038"},{"key":"R3","unstructured":"No authors listed. The Original Ilizarov system: general surgical technique brochure. Memphis: Smith &\n Nephew Inc. 1990."},{"key":"R4","doi-asserted-by":"crossref","unstructured":"De Bastiani G, Apley G, Goldberg A, eds. Orthofix external fixation in trauma and orthopaedics. London: Springer-Verlag, 2000.","DOI":"10.1007\/978-1-4471-0691-3"},{"key":"R5","unstructured":"Catagni MA, Malzev V, Kirienko A. Advances in Ilizarov apparatus assembly. Bianchi Maiocchi A, ed. Il Quadratino, Milan, 1999."},{"key":"R6","unstructured":"ASAMI Group, Bianchi Maiocchi A, Aronson J, eds. Medi Surgical Video. Milan, 1991."},{"key":"R7","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.87B5.15623"},{"key":"R8","doi-asserted-by":"crossref","unstructured":"Sian PS, Britten S, Duffield B. The care of pin sites with external fixation. J Bone Joint Surg [Br] 2006;88-B:558.","DOI":"10.1302\/0301-620X.88B4.17636"},{"key":"R9","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.87B5.15930"}],"container-title":["The Journal of Bone and Joint Surgery. British volume"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/0301-620X.92B7.23543","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/full-xml\/10.1302\/0301-620X.92B7.23543","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/0301-620X.92B7.23543","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,8,16]],"date-time":"2021-08-16T17:56:55Z","timestamp":1629136615000},"score":1,"resource":{"primary":{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/10.1302\/0301-620X.92B7.23543"}},"subtitle":["AN ANATOMICAL STUDY DESCRIBING A SAFE CORRIDOR FOR PLACEMENT OF FINE WIRES IN THE DISTAL TIBIA"],"short-title":[],"issued":{"date-parts":[[2010,7]]},"references-count":9,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2010,7]]}},"alternative-id":["10.1302\/0301-620X.92B7.23543"],"URL":"https:\/\/doi.org\/10.1302\/0301-620x.92b7.23543","relation":{},"ISSN":["0301-620X","2044-5377"],"issn-type":[{"value":"0301-620X","type":"print"},{"value":"2044-5377","type":"electronic"}],"subject":[],"published":{"date-parts":[[2010,7]]}}}