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[Peripheral nerve injury as a complication from orthopedic operation]
1Institute of Orthopedics of PLA, Xijing Hospital, Fourth Military Medical University, Xi'an, P. R. China.
Summary
Peripheral nerve injury is a common complication of orthopedic surgery. This study analyzed 107 cases, identifying cutting and compression as primary injury types, emphasizing anatomical knowledge and prompt treatment to prevent iatrogenic nerve damage.
Area of Science:
- Orthopedic Surgery
- Neurology
- Surgical Complications
Context:
- Iatrogenic peripheral nerve injuries are a significant concern following surgical procedures.
- Orthopedic operations, particularly bone and joint procedures, are frequently associated with nerve damage.
- Understanding the mechanisms and patterns of nerve injury is crucial for prevention and management.
Purpose:
- To analyze the incidence, causes, and types of peripheral nerve injuries associated with orthopedic operations.
- To identify the most commonly affected nerves and surgical procedures linked to nerve injury.
- To discuss strategies for prophylaxis, diagnosis, and treatment of these iatrogenic injuries.
Summary:
- A review of 107 cases revealed that cutting injuries (41%) and stretch/compression injuries (25%) are the main types of iatrogenic peripheral nerve damage during orthopedic surgery.
- The radial nerve (41 cases) and common peroneal nerve (24 cases) were most frequently involved.
- Bone and joint operations accounted for 81% of the cases.
Impact:
- Emphasizes the critical need for surgeons to possess thorough anatomical knowledge and maintain vigilance during operations.
- Highlights the importance of prompt diagnosis and timely, effective treatment to mitigate the consequences of nerve injury.
- Aims to reduce the occurrence of iatrogenic peripheral nerve injuries in orthopedic practice.