Knee replacement surgery in peroneal nerve injury causes and prevention.docVIP

 PAGE \* MERGEFORMAT 19 Knee replacement surgery in peroneal nerve injury causes and prevention [Abstract] understand knee arthroplasty (TKA) in the common peroneal nerve injury causes and prevention of points. [Method] summarize our hospital in January 1996 to 2007 June 2 primary TKA 000 cases of peroneal nerve palsy after cause of injury .6 cases of fresh complete line of normal human lower extremity specimens were simulated TKA surgery, intraoperative injury of common peroneal nerve is easy steps. [results] 9 (0.45%) patients intraoperative unexplained peroneal nerve injury. specimens confirmed simulated surgical procedure, surgery may lead to peroneal nerve injury in high-risk operation were: ① femoral posterolateral joint capsule release, gastrocnemius lateral head, surrounded by aides pulling forward from the distal femur after the common peroneal close to the femoral nerve compression, greatly increased after the lateral bone surface probability of the common peroneal nerve contusion, and after many of its deep and superficial branch of the same symptoms. ② placement outside the Hoffman board biased hook posterior or lateral collateral ligament depth too large, Gou Jian in motion easy to scratch the Ministry of the common peroneal nerve, deep branch of surgery are mostly incomplete or superficial branch of the injury. ③ test mode after installation of implants, to correct residual flexion, the force in full extension or too Yang easily lead to the common peroneal nerve traction injury. [Conclusion] The release of intraoperative posterolateral joint capsule, gastrocnemius lateral head, the assistant should be avoided since the distal femur after up surrounded by pulling forward. Note the location Hoffman board hook, insert direction and depth. to prevent hyperextension of the knee strong. [Keywords:] total knee replacement arthroplasty anatomical nerve injury Abstract: [Objective] To explore the causing and prevention factors of peroneal nerve in