The dangers of hemilithotomy positioning on traction tables: Case report of a well-leg drop foot after contralateral femoral nailing

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Abstract

Background: Postoperative contralateral morbidities after fracture fixation surgery by hemilithotomy positioning on traction table is uncommon. We'd report a case of unexpected common peroneal nerve palsy developed on the contralateral side manifesting with drop foot after a common orthopedic femoral nailing. Case report: A 28-year-old female sustained an unusual common peroneal nerve palsy manifesting contralateral drop foot after prolonged femoral nailing. Although the initial presentations were similar to the notorious well-leg compartment syndrome, a benign course with complete recovery in functions was observed 3 months later. After neurophysiologic exam and review of pertinent literature, this iatrogenic and transient dysfunction was delineated to be position-related neuropraxia. Conclusion: Position adjustment at intervals or complete avoidance of prolonged knee hyperflexion is recommended to prevent contralateral common peroneal nerve morbidity.

Original languageEnglish
Article number18
JournalPatient Safety in Surgery
Volume9
Issue number1
DOIs
Publication statusPublished - 2015 May 14

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Peroneal Nerve
Traction
Thigh
Foot
Leg
Paralysis
Morbidity
Compartment Syndromes
Fracture Fixation
Recovery of Function
Orthopedics
Knee

All Science Journal Classification (ASJC) codes

  • Surgery
  • Orthopedics and Sports Medicine
  • Anesthesiology and Pain Medicine

Cite this

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title = "The dangers of hemilithotomy positioning on traction tables: Case report of a well-leg drop foot after contralateral femoral nailing",
abstract = "Background: Postoperative contralateral morbidities after fracture fixation surgery by hemilithotomy positioning on traction table is uncommon. We'd report a case of unexpected common peroneal nerve palsy developed on the contralateral side manifesting with drop foot after a common orthopedic femoral nailing. Case report: A 28-year-old female sustained an unusual common peroneal nerve palsy manifesting contralateral drop foot after prolonged femoral nailing. Although the initial presentations were similar to the notorious well-leg compartment syndrome, a benign course with complete recovery in functions was observed 3 months later. After neurophysiologic exam and review of pertinent literature, this iatrogenic and transient dysfunction was delineated to be position-related neuropraxia. Conclusion: Position adjustment at intervals or complete avoidance of prolonged knee hyperflexion is recommended to prevent contralateral common peroneal nerve morbidity.",
author = "Hsu, {Kai Lan} and Chang, {Chih Wei} and Lin, {Chii Jeng} and Chang, {Chih Han} and Su, {Wei Ren} and Chen, {Shu Min}",
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T1 - The dangers of hemilithotomy positioning on traction tables

T2 - Case report of a well-leg drop foot after contralateral femoral nailing

AU - Hsu, Kai Lan

AU - Chang, Chih Wei

AU - Lin, Chii Jeng

AU - Chang, Chih Han

AU - Su, Wei Ren

AU - Chen, Shu Min

PY - 2015/5/14

Y1 - 2015/5/14

N2 - Background: Postoperative contralateral morbidities after fracture fixation surgery by hemilithotomy positioning on traction table is uncommon. We'd report a case of unexpected common peroneal nerve palsy developed on the contralateral side manifesting with drop foot after a common orthopedic femoral nailing. Case report: A 28-year-old female sustained an unusual common peroneal nerve palsy manifesting contralateral drop foot after prolonged femoral nailing. Although the initial presentations were similar to the notorious well-leg compartment syndrome, a benign course with complete recovery in functions was observed 3 months later. After neurophysiologic exam and review of pertinent literature, this iatrogenic and transient dysfunction was delineated to be position-related neuropraxia. Conclusion: Position adjustment at intervals or complete avoidance of prolonged knee hyperflexion is recommended to prevent contralateral common peroneal nerve morbidity.

AB - Background: Postoperative contralateral morbidities after fracture fixation surgery by hemilithotomy positioning on traction table is uncommon. We'd report a case of unexpected common peroneal nerve palsy developed on the contralateral side manifesting with drop foot after a common orthopedic femoral nailing. Case report: A 28-year-old female sustained an unusual common peroneal nerve palsy manifesting contralateral drop foot after prolonged femoral nailing. Although the initial presentations were similar to the notorious well-leg compartment syndrome, a benign course with complete recovery in functions was observed 3 months later. After neurophysiologic exam and review of pertinent literature, this iatrogenic and transient dysfunction was delineated to be position-related neuropraxia. Conclusion: Position adjustment at intervals or complete avoidance of prolonged knee hyperflexion is recommended to prevent contralateral common peroneal nerve morbidity.

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