Original ArticlesNerve injury after primary total knee arthroplasty*,**
Section snippets
Materials and methods
A total of 1,476 primary TKAs were performed by multiple surgeons in the Department of Orthopaedic Surgery at the Columbia Presbyterian Medical Center between January 1970 and December 1998. A retrospective review of the orthopaedic complication records identified 19 nerve palsies in primary TKA patients. Patient data were collected on these 19 patients, including gender, age, weight, diagnosis requiring TKA, degree of flexion contracture, and medical comorbidities (including diabetes mellitus,
Preoperative data
After the 1,476 TKAs performed at the Columbia Presbyterian Medical Center during the 29 years between January 1970 and December 1998, 19 peripheral neuropathies after primary TKA in 19 patients were identified. The average age of the 19 patients was 61.5 years (range, 35-84 years). Nine (47%) patients were men, and 10 (53%) were women. The average female weight was 68 kg (range, 59-80 kg), and the average male weight was 83 kg (range, 70-100 kg). Nine (47%) of the TKAs were performed on the
Discussion
Peripheral neuropathy after TKA is a rare and often unforeseen occurrence. Neurologic damage primarily involves the peroneal nerve, which is composed of fibers from the dorsal branches of the ventral rami of L4, L5, S1, and S2. The level of the division of the sciatic nerve to form the tibial and common peroneal nerves is variable. Most often, this split occurs in the posterior aspect of the midthigh. The peroneal nerve enters the popliteal space and winds lateral to the fibular head. At the
References (21)
- et al.
Postoperative brachial plexus neuropathy after total knee replacement under spinal anaesthesia
Br J Anaesth
(1995) - et al.
Total condylar knee arthroplasty: a report of 2-year follow-up on 247 cases
Arch Orthop Trauma Surg
(1985) - et al.
Complications of polycentric knee arthroplasty
Clin Orthop
(1976) - et al.
Sacral plexopathy and sciatic neuropathy after total knee arthroplasty
Electromyogr Clin Neurophysiol
(1998) - et al.
Proprioception after arthroplasty: role of the posterior cruciate ligament
Clin Orthop
(1996) - et al.
10- to 20-year followup of total knee arthroplasty for valgus deformities
Clin Orthop
(1997) - et al.
Nerve palsy after knee arthroplasty in patients with rheumatoid arthritis
Scand J Rheumatol
(1983) - et al.
Peroneal nerve palsy after total knee arthroplasty
Clin Orthop
(1990) - et al.
Peroneal nerve palsy after total knee arthroplasty: assessment of predisposing and prognostic factors
J Bone Joint Surg Am
(1996) - et al.
Peroneal-nerve palsy following total knee arthroplasty: a review of The Hospital for Special Surgery experience
J Bone Joint Surg Am
(1982)
Cited by (102)
Peroneal Nerve Palsy After Total Knee Arthroplasty
2024, Arthroplasty TodayRisk Factors for Peripheral Nerve Injury Following Revision Total Knee Arthroplasty in 132,960 Patients
2023, Journal of ArthroplastyNerve Injuries in Total Knee Arthroplasty
2022, Orthopedic Clinics of North AmericaSafe and effective use of active robotics for TKA: Early results of a multicenter study
2021, Journal of OrthopaedicsCommon Peroneal Nerve Injury and Recovery after Total Knee Arthroplasty: A Systematic Review
2020, Arthroplasty Today
- *
No benefits or funds were received in support of this study.
- **
Reprint requests: William Macaulay, MD, Department of Orthopaedic Surgery, 622 West 168th Street, PH 11th Floor, Room 1146, New York, NY 10032. E-mail: [email protected]