دورية أكاديمية

Tibial Nerve Palsy After Lateralizing Calcaneal Osteotomy.

التفاصيل البيبلوغرافية
العنوان: Tibial Nerve Palsy After Lateralizing Calcaneal Osteotomy.
المؤلفون: Stødle AH; Section for Foot and Ankle Surgery, Division of Orthopaedic Surgery, Oslo University Hospital, Oslo, Norway., Molund M; Section for Foot and Ankle Surgery, Department of Orthopaedic Surgery, Østfold Hospital, Norway., Nilsen F; Section for Foot and Ankle Surgery, Department of Orthopaedic Surgery, Østfold Hospital, Norway., Hellund JC; Department of Radiology and Nuclear Medicine, Oslo University Hospital, Norway., Hvaal K; Section for Foot and Ankle Surgery, Division of Orthopaedic Surgery, Oslo University Hospital, Oslo, Norway.
المصدر: Foot & ankle specialist [Foot Ankle Spec] 2019 Oct; Vol. 12 (5), pp. 426-431. Date of Electronic Publication: 2018 Nov 30.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Sage Publications Country of Publication: United States NLM ID: 101473598 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1938-7636 (Electronic) Linking ISSN: 19386400 NLM ISO Abbreviation: Foot Ankle Spec Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Thousand Oaks, CA : Sage Publications
مواضيع طبية MeSH: Tibial Nerve*, Calcaneus/*surgery , Osteotomy/*adverse effects , Osteotomy/*methods , Paralysis/*etiology , Postoperative Complications/*etiology , Tibial Neuropathy/*etiology, Follow-Up Studies ; Humans ; Incidence ; Metatarsus Varus/surgery ; Paralysis/diagnostic imaging ; Paralysis/epidemiology ; Postoperative Complications/diagnostic imaging ; Postoperative Complications/epidemiology ; Retrospective Studies ; Tibial Neuropathy/diagnostic imaging ; Tibial Neuropathy/epidemiology ; Time Factors ; Tomography, X-Ray Computed
مستخلص: Background: Lateralizing calcaneal osteotomy (LCO) is a common procedure used to correct hindfoot varus. Several complications have been described in the literature, but only a few articles describe tibial nerve palsy after this procedure. Our hypothesis was that tibial nerve palsy is a common complication after LCO. Methods: A retrospective study of patients undergoing LCO for hindfoot varus between 2007 and 2013 was performed. A total of 15 patients (18 feet) were included in the study. The patients were examined for tibial nerve deficit, and all the patients were examined with a computed tomography (CT) scan of both feet. Patients with a preexisting neurological disease were excluded. The primary outcome was tibial nerve palsy, and the secondary outcomes were reduction of the tarsal tunnel volume, the distance from subtalar joint to the osteotomy, and the lateral step at the osteotomy evaluated by CT scans. Results: Three of the 18 feet examined had tibial nerve palsy at a mean follow-up of 51 months. The mean reduction in tarsal tunnel volume when comparing the contralateral nonoperated foot to the foot operated with LCO was 2732 mm 3 in the group without neurological deficit and 2152 mm 3 in the group with neurological deficit (P = .60). Conclusion: 3 of 18 feet had tibial palsy as a complication to LCO. We were not able to show that a larger decrease in the tarsal tunnel volume, a more anterior calcaneal osteotomy, or a larger lateral shift of the osteotomy is associated with tibial nerve palsy. Levels of Evidence: Level IV: Retrospective case series.
فهرسة مساهمة: Keywords: calcaneal osteotomy; tarsal tunnel syndrome; tibial nerve palsy
تواريخ الأحداث: Date Created: 20181201 Date Completed: 20200408 Latest Revision: 20200408
رمز التحديث: 20240628
DOI: 10.1177/1938640018816363
PMID: 30499329
قاعدة البيانات: MEDLINE
الوصف
تدمد:1938-7636
DOI:10.1177/1938640018816363