Tarsal Tunnel Syndrome as a Complication of Total Ankle Athroplasty: A Case Report

Bejjanki, Nithin; Moulder, Elizabeth; Al-Nammari, Shafic Said; Budgen, Adam

doi:10.3113/fai.2008.0347

Cited by 11 publications

(9 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Entrapment resulting from space-occupying lesions has also been described. Bejjanki et al [ 10 ] reported an unusual case that where the condition resulted from post-surgical entrapment and impingement from a displaced osteophyte rather than as a result of scarring. Extensive tibiotalar osteophytes are commonly seen and excised from patients undergoing ankle arthroplasty.…”

Section: Discussionmentioning

confidence: 99%

Neurologic injuries after primary total ankle arthroplasty: prevalence and effect on outcomes

Primadi

Yoon

et al. 2015

Journal of Foot and Ankle Research

View full text Add to dashboard Cite

BackgroundNeurologic injuries are complications that can arise after total joint arthroplasty. However, no comprehensive study has been conducted on peripheral nerve injuries after total ankle arthroplasty. The purpose of the present study was to identify the prevalence of neurologic injury following primary total ankle arthroplasty, the predisposing factors, and evaluate the effect on clinical outcomes.MethodsWe retrospectively analyzed 150 consecutive primary total ankle arthroplasty using the mobile-bearing prosthesis between January 2005 and December 2011, in 150 patients with symptomatic ankle end-stage arthritis. All the patients were divided into groups according to whether they had postoperative peripheral neuropathy (23 patients) or not (127 patients). We investigated the prevalence, predisposing factors, and effect on clinical outcomes of neurologic injuries. The mean age was 61.3 years, and the mean follow-up period was 41.8 months.ResultsThere were 23 nerve injuries (15.3 %), including nine in posterior tibial nerves, six superficial peroneal nerves, six deep peroneal nerves, one saphenous nerve, and one sural nerve. Neurologic injury was significantly associated with the development of posttraumatic osteoarthritis, but it was not significantly associated with other predisposing factors, such as age, gender, body mass index, and symptom duration. Of the 23 nerve injuries, 13 (56.5 %) presented a complete, spontaneous recovery, 9 (39.1 %) presented an incomplete recovery, and 1 (4.3 %) presented no recovery. The patients with neurologic injury had significantly lower American Orthopaedic Foot and Ankle Society scores and lower levels of patient satisfaction.ConclusionsThe results of this study suggest that the prevalence of neurologic injury after total ankle arthroplasty is considerable, and that neurologic injury is associated with low levels of patient satisfaction and poor clinical outcomes at mean of 3 years, postoperatively. Care is needed to reduce the occurrence of neurologic injuries.

show abstract

Section: Discussionmentioning

confidence: 99%

Neurologic injuries after primary total ankle arthroplasty: prevalence and effect on outcomes

Primadi

Yoon

et al. 2015

Journal of Foot and Ankle Research

View full text Add to dashboard Cite

show abstract

“…Entrapment resulting from spaceoccupying lesions has also been described. Bejjanki et al [10] reported an unusual case that where the condition resulted from post-surgical entrapment and impingement from a displaced osteophyte rather than as a result of scarring. Extensive tibiotalar osteophytes are commonly seen and excised from patients undergoing ankle arthroplasty.…”

Section: Sural (1) Lacerationmentioning

confidence: 99%

“…For lower limb arthroplasty, the common mechanisms related to neurologic injuries include traction, compression, entrapment, direct laceration, and indirect trauma [8][9][10][11][12]. Many studies have investigated the incidence of peripheral nerve injury following arthroplasty [9][10][11][12], and the prevalence of such injuries has been reported to range between 0.17 and 1 % after total hip arthroplasty [11,[13][14][15][16] and between 0.3 and 1.28 % after total knee arthroplasty [12,17,18].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Neurologic injuries after primary total ankle arthroplasty: Prevalence and effect on outcomes

Kim¹,

Primadhi

Lee³

2017

Foot and Ankle Surgery

View full text Add to dashboard Cite

Background: Neurologic injuries are complications that can arise after total joint arthroplasty. However, no comprehensive study has been conducted on peripheral nerve injuries after total ankle arthroplasty. The purpose of the present study was to identify the prevalence of neurologic injury following primary total ankle arthroplasty, the predisposing factors, and evaluate the effect on clinical outcomes. Methods: We retrospectively analyzed 150 consecutive primary total ankle arthroplasty using the mobile-bearing prosthesis between January 2005 and December 2011, in 150 patients with symptomatic ankle end-stage arthritis. All the patients were divided into groups according to whether they had postoperative peripheral neuropathy (23 patients) or not (127 patients). We investigated the prevalence, predisposing factors, and effect on clinical outcomes of neurologic injuries. The mean age was 61.3 years, and the mean follow-up period was 41.8 months.Results: There were 23 nerve injuries (15.3 %), including nine in posterior tibial nerves, six superficial peroneal nerves, six deep peroneal nerves, one saphenous nerve, and one sural nerve. Neurologic injury was significantly associated with the development of posttraumatic osteoarthritis, but it was not significantly associated with other predisposing factors, such as age, gender, body mass index, and symptom duration. Of the 23 nerve injuries, 13 (56.5 %) presented a complete, spontaneous recovery, 9 (39.1 %) presented an incomplete recovery, and 1 (4.3 %) presented no recovery. The patients with neurologic injury had significantly lower American Orthopaedic Foot and Ankle Society scores and lower levels of patient satisfaction. Conclusions:The results of this study suggest that the prevalence of neurologic injury after total ankle arthroplasty is considerable, and that neurologic injury is associated with low levels of patient satisfaction and poor clinical outcomes at mean of 3 years, postoperatively. Care is needed to reduce the occurrence of neurologic injuries.

show abstract

“…107 Some implant instrumentation protects these structures with pins at the edge of the saw cuts or malleable retractors placed in the medial gutter. However, care must still be given to proper saw technique to avoid posteromedial injury.…”

Section: Nerve and Vessel Damagementioning

confidence: 99%

International Advances in Foot and Ankle Surgery

2012

View full text Add to dashboard Cite

Tarsal Tunnel Syndrome as a Complication of Total Ankle Athroplasty: A Case Report

Cited by 11 publications

References 13 publications

Neurologic injuries after primary total ankle arthroplasty: prevalence and effect on outcomes

Neurologic injuries after primary total ankle arthroplasty: prevalence and effect on outcomes

Neurologic injuries after primary total ankle arthroplasty: Prevalence and effect on outcomes

International Advances in Foot and Ankle Surgery

Contact Info

Product

Resources

About