Abstract
Total diz artroplastisi sonrası gelişen peroneal sinir palsi, klinik sonuçları önemli derecede olumsuz etklileyen ve nadir görülen bir sorundur. Bu çalışmamızda 62 yaşında klinik bulgu vermeyen dejeneratif lomber disk hastalığı olan ileri derecede sağ gonartroz nedeniyle total diz artroplastisi uyguladığımız hastada ameliyat sonrası 15. günde gelişen peroneal palsinin klinik ve elektrofizyolojik takip sonuçlarını sunuyoruz. Yapılan elektromyografik değerlendirmede peroneal sinir motor dalının fibula başı seviyesinde ağır derecede parsiyel aksonal hasarı mevcuttu. Medikal tedavi ile takibi sonrası 6. Haftadan itibaren klinik iyileşme bulguları başlayan hastada, peroneal sinir eksplorasyon ve nöroliz gerekliliği olmadan, 6. ayda total klinik ve elektrofizyolojik iyileşme sağlandı. Dejeneratif disk hastalığına bağlı klinik bulgu vermeyen kök basısı olan hastalarda uygulanan total diz artroplastisinde peroneal palsi yatkınlığında artış olabileceği akılda tutulmalıdır.
Supporting Institution
İstinye Üniversitesi Tıp Fakültesi Ortopedi ve Travmatoloji Anabilim Dalı
References
- 1. Carender CN. Common Peroneal Nerve Injury and Recovery after Total Knee Arthroplasty: A Systematic Review. Arthroplasty Today. 2020;6.
- 2. Erdil M, Ceylan HH, Elmadag M, Bilsel K, Tuncay I. Late Complication of Knee Trauma: Isolated Common Peroneal Nerve Palsy. JAEMCR. 2014 Apr 4;5(1):27–9.
- 3. Deshmukh AJ, Kuczynski B, Scuderi GR. Delayed peroneal nerve palsy after total knee arthroplasty—A rare complication of tibial osteolysis. The Knee. 2014 Mar;21(2):624–7.
- 4. Zengi̇n Ç, Gülman B. Total diz artroplastisi sonrası görülen peroneal sinir hasarı. Journal of Experimental and Clinical Medicine. 2013 Nov 29;30(1s):133–5.
- 5. Park JH. Common Peroneal Nerve Palsy Following Total Knee Arthroplasty. The Journal of Arthroplasty. 2013;5.
- 6. Dagistan Y, Dagistan E, Alkan B. A rare complication after total knee arthroplasty in a patient with rheumatoid arthritis; the peroneal nerve damage: A case report. Sakarya Med J. 2013;3(2):88–90.
- 7. Harvie P, Torres-Grau J, Beaver RJ. Common peroneal nerve palsy associated with pseudotumour after total knee arthroplasty. The Knee. 2012;3.
- 8. Nercessian OA, Ugwonali OFC, Park S. Peroneal nerve palsy after total knee arthroplasty. J Arthroplasty. 2005 Dec;20(8):1068–73.
- 9. Omeroglu H, Ozçelik A, Turgut A. Bilateral peroneal nerve palsy after simultaneous bilateral total knee arthroplasty. Report of a case with rheumatoid arthritis. Knee Surg Sports Traumatol Arthrosc. 2001 Jul;9(4):225–7.
- 10. Idusuyi OB, Morrey BF. Peroneal Nerve Palsy after Total Knee Arthroplasty. Assessment of Predisposing and Prognostic Factors*†: The Journal of Bone & Joint Surgery. 1996 Feb;78(2):177–84.
Abstract
References
- 1. Carender CN. Common Peroneal Nerve Injury and Recovery after Total Knee Arthroplasty: A Systematic Review. Arthroplasty Today. 2020;6.
- 2. Erdil M, Ceylan HH, Elmadag M, Bilsel K, Tuncay I. Late Complication of Knee Trauma: Isolated Common Peroneal Nerve Palsy. JAEMCR. 2014 Apr 4;5(1):27–9.
- 3. Deshmukh AJ, Kuczynski B, Scuderi GR. Delayed peroneal nerve palsy after total knee arthroplasty—A rare complication of tibial osteolysis. The Knee. 2014 Mar;21(2):624–7.
- 4. Zengi̇n Ç, Gülman B. Total diz artroplastisi sonrası görülen peroneal sinir hasarı. Journal of Experimental and Clinical Medicine. 2013 Nov 29;30(1s):133–5.
- 5. Park JH. Common Peroneal Nerve Palsy Following Total Knee Arthroplasty. The Journal of Arthroplasty. 2013;5.
- 6. Dagistan Y, Dagistan E, Alkan B. A rare complication after total knee arthroplasty in a patient with rheumatoid arthritis; the peroneal nerve damage: A case report. Sakarya Med J. 2013;3(2):88–90.
- 7. Harvie P, Torres-Grau J, Beaver RJ. Common peroneal nerve palsy associated with pseudotumour after total knee arthroplasty. The Knee. 2012;3.
- 8. Nercessian OA, Ugwonali OFC, Park S. Peroneal nerve palsy after total knee arthroplasty. J Arthroplasty. 2005 Dec;20(8):1068–73.
- 9. Omeroglu H, Ozçelik A, Turgut A. Bilateral peroneal nerve palsy after simultaneous bilateral total knee arthroplasty. Report of a case with rheumatoid arthritis. Knee Surg Sports Traumatol Arthrosc. 2001 Jul;9(4):225–7.
- 10. Idusuyi OB, Morrey BF. Peroneal Nerve Palsy after Total Knee Arthroplasty. Assessment of Predisposing and Prognostic Factors*†: The Journal of Bone & Joint Surgery. 1996 Feb;78(2):177–84.
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Articles |
| Authors | |
| Publication Date | September 22, 2021 |
| Submission Date | December 27, 2020 |
| Published in Issue | Year 2021 Volume: 11 Issue: 3 |
The published articles in SMJ are licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.