Nerve injury after primary total knee arthroplasty

There is controversy about the incidence of and predisposing factors to the development of peripheral nerve palsy after total knee arthroplasty (TKA). In this study, 19 patients with a documented neurologic complication were identified after a retrospective review of 1,476 primary TKAs performed bet...

Full description

Saved in:
Bibliographic Details
Published in:The Journal of arthroplasty 2001-12, Vol.16 (8), p.1048-1054
Main Authors: Schinsky, Mark F., Macaulay, William, Parks, Michael L., Kiernan, Howard, Nercessian, Ohannes A.
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Arthroplasty, Replacement, Knee - adverse effects
complications
Female
Humans
Incidence
Knee Prosthesis - adverse effects
Male
Middle Aged
neurologic injury
palsy
Paralysis - epidemiology
Paralysis - etiology
Peripheral Nervous System Diseases - epidemiology
Peripheral Nervous System Diseases - etiology
peroneal nerve
Peroneal Nerve - injuries
Postoperative Complications - epidemiology
Postoperative Complications - etiology
primary
Retrospective Studies
Risk Factors
total knee arthroplasty
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:There is controversy about the incidence of and predisposing factors to the development of peripheral nerve palsy after total knee arthroplasty (TKA). In this study, 19 patients with a documented neurologic complication were identified after a retrospective review of 1,476 primary TKAs performed between January 1970 and December 1998 at the New York Presbyterian Hospital at Columbia University, for an overall incidence of 1.3%. Contrary to previously published data, valgus deformity, flexion contracture, the use of postoperative epidural anesthesia, the prolonged use of pneumatic tourniquets, and preexisting neuropathy were not associated with the development of peripheral neuropathy after TKA based on our data. A larger percentage of rheumatoid knees experienced a neurologic injury than was expected, however. No other significant risk factors for peripheral neuropathy after TKA were identified based on data from our patients. Immediately after discovery of the nerve palsy, conservative treatment was employed for each of our patients. All patients showed at least a partial recovery at the end of follow-up, with most experiencing a complete recovery from symptoms.
ISSN:0883-5403
1532-8406
DOI:10.1054/arth.2001.26591