Preventable iatrogenic cause of foot-drop in knee injuries with literature review
| Autor: | Nirup Naik, Rakesh Goyal, Sumit Arora, Anant Krishna, Manish Kumar, Manoj Kumar |
|---|---|
| Rok vydání: | 2022 |
| Předmět: |
musculoskeletal diseases
Foot drop medicine.medical_specialty medicine.medical_treatment Iatrogenic Disease Knee Injuries Humans Paralysis Medicine Orthopedics and Sports Medicine Retrospective Studies Palsy business.industry Acetabular fracture Neck fracture Traction (orthopedics) musculoskeletal system medicine.disease Surgery Tibial Fractures Fibula medicine.symptom business Knee injuries Iatrogenic complication Common peroneal nerve |
| Zdroj: | Chinese Journal of Traumatology. 25:224-231 |
| ISSN: | 1008-1275 |
| DOI: | 10.1016/j.cjtee.2021.06.005 |
| Popis: | Purpose Common peroneal nerve (CPN) 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. CPN 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. |
| Databáze: | OpenAIRE |
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