Preventable iatrogenic cause of foot-drop in knee injuries with literature review

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PURPOSE: Common peroneal nerve palsy is quite disabling and every effort should be made to prevent its injury during the treatment.

METHODS: We retrospectively reviewed the prospectively collected data of 7 cases of tibial plateau fractures in association with proximal fibula fracture from January 2019 to September 2019 who presented to emergency room of our hospital.

RESULTS: In addition to fibular neck fracture, the first case had type 6 tibial plateau displaced fracture and the second case had displaced acetabular fracture with instability of knee with tibial tuberosity avulsion. common peroneal nerve palsy developed following application of distal tibial skeletal traction in both the cases. Other 6 such cases remained neurologically intact as traction was not applied to them.

CONCLUSION: Such iatrogenic complication could have been prevented if the injury pattern of "concomitant medial and lateral columns" of the proximal leg is kept in mind by the treating surgeon before applying skeletal traction.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:25

Enthalten in:

Chinese journal of traumatology = Zhonghua chuang shang za zhi - 25(2022), 4 vom: 16. Juli, Seite 224-231

Sprache:

Englisch

Beteiligte Personen:

Krishna, Anant [VerfasserIn]
Arora, Sumit [VerfasserIn]
Goyal, Rakesh [VerfasserIn]
Kumar, Manish [VerfasserIn]
Naik, Nirup [VerfasserIn]
Kumar, Manoj [VerfasserIn]

Links:

Volltext

Themen:

Common peroneal neuropathies
Journal Article
Proximal fibula fractures
Review
Tibial plateau fractures
Traction palsy

Anmerkungen:

Date Completed 28.06.2022

Date Revised 16.07.2022

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.cjtee.2021.06.005

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM328751820