Postoperative Common Peroneal Nerve Injury of Seven Patients Within 2 Months: Case Reports and Analysis
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CASE REPORT
Postoperative Common Peroneal Nerve Injury of Seven Patients Within 2 Months: Case Reports and Analysis Chengyi Cai 1 & Yongxing Li 1 & Wuhua Ma 1 Received: 20 September 2020 / Accepted: 29 September 2020 # Association of Surgeons of India 2020
Abstract Common peroneal nerve injury was a low incidence in the event of serious consequences. But seven consecutive cases of peroneal common nerve injury were occurred in our hospital within 2 months which aroused our attention, we report and analyze the reason of these cases in order to reduce or even avoid associated clinical complications in future. We present seven cases of postoperative common peroneal nerve injury. There was no significant correlation related to sex or age in seven patients. All patients were undergoing orthopedic surgery which was no significant difference between surgeons and anesthesiologists, but three patients had lumbar history and two had diabetes history. In the aspect of anesthesia, three cases were general anesthesia and other four cases were spinal anesthesia. There was no statistical difference in anesthesia method or medication; only one case had postoperative analgesia. Two cases had tourniquet in operation. Common peroneal nerve injury was showed in 1 to 3 days after surgery and all improved after conservative treatment. The occurrence of common peroneal nerve injury is the result of multifactorial combination. The factors of orthopedic surgery, previous history of lumbar, or diabetes maybe important influencing factors. However, spinal anesthesia and intraoperative use of tourniquet have no correlation with its occurrence. Keywords Common peroneal nerve . Nerve injury . Surgery . Anesthesia
Background Common peroneal nerve injury was a low incidence in the event of serious consequences. But seven consecutive cases of nerve injury were occurred in our hospital within 2 months which was very rare. There has not yet similar situation been reported at present. It aroused our
* Wuhua Ma [email protected] 1
Department of Anesthesiology, The First Affiliated Hospital of Guangzhou University of Chinese Medicine, 12 Jichang Road, Guangzhou 510405, Guangdong, China
attention. We review the relevant literature and which pointed out the main cause of nerve injury was anesthesia or use of tourniquet. But we do not think so because of none of the above reasons were independent of these cases we reported. We report and analyze the reason of these cases in order to reduce or even avoid associated clinical complications in future.
Indian J Surg
Case Presentation Schedule: seven cases of patient statistics No 1 2 3 4 5 6 7
Department Orthopedic Orthopedic Orthopedic Orthopedic Orthopedic Orthopedic Orthopedic
Sex Female Male Female Male Female Female Female
Age 43 45 66 17 65 38 63
History No Pain on back Diabetes spondylolisthesis No Disc bulging no Diabetes
Anesthesia GA SA SA SA SA GA GA
Discussion and Conclusions Analysis of the main causes of common peroneal nerve injury may be closely related to the patient’s pre
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