Surgical treatment of peroneal nerve palsy after knee dislocation.

Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA
Steven A GiuseffiBruce A Levy

Abstract

Numerous surgical techniques have been described for the treatment of peroneal nerve palsy after knee dislocation with less than optimal outcomes. The purpose of this article is to present a review of the literature including modern surgical treatment options for peroneal nerve palsy after knee dislocation. Review of the current body of literature relevant to the topic was undertaken and summarized accordingly. Mechanism of injury, pathology and prognosis as well as current and novel treatment options are presented. Neurolysis and nerve grafting results are dependent on nerve graft length, with documented recovery rates of only 44% for nerve grafts longer than 6 cm. Posterior tibial tendon transfer procedures have had reasonable success in allowing patients to return to ambulation without assistive devices; however, dorsiflexion strength on the affected side has been reported at only 30% that of the normal contralateral side, and return to activities more strenuous than walking has not been reported. Future concepts including partial nerve transfer of a motor branch of the tibial nerve to the peroneal nerve have been described, but no outcome data is currently available. Peroneal nerve palsy after knee dislocation leads to sign...Continue Reading

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Citations

Aug 27, 2013·AJR. American Journal of Roentgenology·Richard E A WalkerNicholas G Mohtadi
Feb 28, 2014·Clinical Orthopaedics and Related Research·Aaron J KrychBruce A Levy
Apr 4, 2014·Clinical Orthopaedics and Related Research·Trevor R BornMichael J Stuart
Nov 28, 2014·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Shane CookMatthew J Bollier
Jun 13, 2015·Case Reports in Orthopedics·Takeshi OshimaHiroyuki Tsuchiya
Nov 3, 2011·Neurosurgical Focus·Dosang ChoDaniel H Kim
Aug 9, 2011·Clinical Orthopaedics and Related Research·Christopher J PeskunDaniel B Whelan
Jul 2, 2018·Neurosurgical Review·Olga GutkowskaJerzy Gosk
Jan 9, 2020·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Benjamin FreychetBruce A Levy
Dec 20, 2019·Annals of Plastic Surgery·Laurent MathieuZoubir Belkheyar

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