Transient common peroneal nerve palsy following skeletal tibial traction in a morbidly obese patient - case report of a preventable complication.

Patient Safety in Surgery
Frank A LiporaceAnil K Kesani

Abstract

Today, skeletal tibial traction remains a mainstay of initial management following high-energy, major orthopaedic lower extremity trauma. Historically utilized as definitive fracture management, recent advances in surgical technology have moved skeletal tibial traction into the realm of temporary management, with benefits including fracture reduction, pain relief, and restoration of disturbed surrounding soft tissues, lowering wound complication and compartment syndrome rates. However, no procedure is without its risks. Here, we present a case of common peroneal palsy following skeletal tibial traction placement, which resolved with subsequent pin removal. Indications, proper placement, potential etiologies, and a review of the literature are also discussed.

References

Apr 2, 1999·The American Journal of Emergency Medicine·W M MihalkoB McGrath
Apr 14, 1999·Neurosurgery·G A GrantM Kliot
May 3, 2000·Journal of Orthopaedic Trauma·R L Snyder, B R Buhr
Sep 28, 2002·Journal of Orthopaedic Trauma·Kyle F DicksonMark S Vrahas
Dec 14, 2004·Injury·Vishal NigamB K Dhaon
Mar 11, 2005·Journal of Orthopaedic Trauma·Peter V GiannoudisDavid A Macdonald
Oct 14, 2005·Journal of the Peripheral Nervous System : JPNS·Irene AprileLuca Padua

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Citations

Aug 1, 2021·Chinese Journal of Traumatology = Zhonghua Chuang Shang Za Zhi·Anant KrishnaManoj Kumar

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