Common Peroneal Nerve Palsy: An Unexpected Complication of Liver Surgery

Nonthasoot, Bunthoon; Sirichindakul, Boonchoo; Nivatvongs, Supanit; Sangsubhan, Chesada

doi:10.1016/j.transproceed.2006.02.104

Cited by 17 publications

(15 citation statements)

References 8 publications

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“…The incidence of PN after liver transplantation was reported to be 1.4%-13.3% in previous studies, (1)(2)(3)(4)(5) which is comparable to the overall incidence of PN in the present study (21/261, 8.0%).…”

Section: Discussionsupporting

confidence: 86%

“…Moreover, frequent tilting of the operating table during surgery to facilitate liver mobilisation for surgical convenience may aggravate the condition. (1,3,5) Most incidences of postoperative PN are associated with surgeries performed in the lithotomy position; postoperative PN is uncommon when the supine position is used. (12,13) In a retrospective review of LT recipients, Moreno et al found that 2 of 143 (1.4%) adult LT recipients developed PN during the postoperative period due to the compression caused by knee supports that were placed in the popliteal space when patients were in the supine position.…”

Section: Discussionmentioning

confidence: 99%

“…(19) Patients who develop PN after liver transplantation are usually treated conservatively using physical therapy, with gradual improvement over time. (2,3) In general, nerve injury caused by intraoperative malpositioning is treated symptomatically. (21) Pain is treated with analgesics or other medications (e.g.…”

Section: Discussionmentioning

confidence: 99%

“…After surgical treatment, the patient's motor power generally returns to normal within six months. (2,3,5) It is generally uncertain when PN develops following liver transplantation. This is because patients are only able to complain about neurologic symptoms after they recover consciousness, and it may take several days or even weeks for the symptoms of PN to surface.…”

Section: Discussionmentioning

confidence: 99%

“…(1)(2)(3)(4)(5) Although PN may not appear to be a serious complication in liver transplant (LT) recipients who require the transplant for survival, PN would greatly compromise the activity of the patient, resulting in extended hospital stay and decreased quality of life.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Association between the use of gel pads under patients’ knees and the incidence of peroneal neuropathy following liver transplantation

Kim¹,

Yoon

Kee³

et al. 2014

smedj

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Section: Discussionsupporting

confidence: 86%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Association between the use of gel pads under patients’ knees and the incidence of peroneal neuropathy following liver transplantation

Kim¹,

Yoon

Kee³

et al. 2014

smedj

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show abstract

Protective mechanisms of the common fibular nerve in and around the fibular tunnel: A new concept

Gharbawy

Skandalakis

2009

Clinical Anatomy

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The most frequent site at which the common fibular nerve is affected by compression, trauma, traction, masses, and surgery is within and around the fibular tunnel. The aim of this study was to determine whether there were protective mechanisms at this site that guard against compression of the nerve. Twenty-six lower limbs of 13 preserved adult cadavers (11 males and two females) were used. Proximal to the entrance of the tunnel, three anatomical configurations seemed to afford the required protection for the nerve: reinforcement of the deep fascia; tethering of the common fibular nerve to both the tendon of the biceps femoris and the reinforced fascia; and the particular arrangement of the deep fascia, fibular head, and soleus and gastrocnemius muscles. At the entrance of the tunnel, contraction of the first segment of fibularis longus muscle could afford the required protection. In the tunnel, contraction of the second and third segments of fibularis longus muscle could guard against compression of the nerve. The tough fascia on the surface of fibularis longus muscle and the fascial band within it, which have long been accused of compression of the nerve, may actually be elements of the protective mechanisms. We conclude that there are innate, anatomical protective mechanisms which should be taken into consideration when decompressing the common fibular nerve. To preserve these mechanisms whenever possible, the technique should be planned and varied according to the underlying etiology.

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Common Peroneal Nerve Dysfunction

Charalambous

2021

The Knee Made Easy

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Common Peroneal Nerve Palsy: An Unexpected Complication of Liver Surgery

Cited by 17 publications

References 8 publications

Association between the use of gel pads under patients’ knees and the incidence of peroneal neuropathy following liver transplantation

Association between the use of gel pads under patients’ knees and the incidence of peroneal neuropathy following liver transplantation

Protective mechanisms of the common fibular nerve in and around the fibular tunnel: A new concept

Common Peroneal Nerve Dysfunction

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