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Perioperative lower extremity peripheral nerve traction injuries.
Christopher T Plastaras1, Akhil Chhatre, Ashot S Kotcharian
1Department of Physical Medicine and Rehabilitation, University of Pennsylvania Perelman School of Medicine, 1800 Lombard Street, Philadelphia, PA 19146, USA.
The Orthopedic Clinics of North America
|November 26, 2013
Summary
Peripheral nerve traction injuries can happen after knee or hip surgery. Early diagnosis and understanding risk factors are key for prevention and treatment of these lower extremity nerve injuries.
Area of Science:
- Orthopedic Surgery
- Neurology
- Medical Diagnostics
Background:
- Peripheral nerve traction injuries are a potential complication following surgical interventions.
- These injuries commonly affect large peripheral nerves in the lower extremities, particularly after knee or hip surgery.
Purpose of the Study:
- To review peripheral nerve traction injuries associated with knee and hip surgical procedures.
- To highlight diagnostic methods and emphasize the importance of timely intervention.
Main Methods:
- Literature review focusing on surgical complications and nerve injuries.
- Analysis of diagnostic approaches, including electrodiagnostic studies.
- Discussion of risk factors, predisposing conditions, and prophylactic strategies.
Main Results:
- Peripheral nerve traction injuries are a recognized risk after hip and knee surgeries.
- Diagnosis requires a combination of detailed patient history, physical examination, and electrodiagnostic studies.
- Identifying and mitigating risk factors are crucial for preventing these nerve injuries.
Conclusions:
- Prompt diagnosis and management are essential for successful outcomes in peripheral nerve traction injuries.
- Familiarity with risk factors and prophylactic measures can significantly reduce the incidence of these injuries post-surgery.
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