دورية أكاديمية
أعرض في EDS

Peroneal Nerve Decompression in Patients with Multiple Hereditary Exostoses: Indications, Complications, and Recurrence.

التفاصيل البيبلوغرافية
العنوان: Peroneal Nerve Decompression in Patients with Multiple Hereditary Exostoses: Indications, Complications, and Recurrence.
المؤلفون: Huser AJ; Paley Orthopedic & Spine Institute, West Palm Beach, Florida., Nugraha HK, Hariharan AR, Ziegler SE, Feldman DS
المصدر: The Journal of bone and joint surgery. American volume [J Bone Joint Surg Am] 2024 Jul 17; Vol. 106 (14), pp. 1277-1285. Date of Electronic Publication: 2024 Apr 25.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Journal of Bone and Joint Surgery Country of Publication: United States NLM ID: 0014030 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1535-1386 (Electronic) Linking ISSN: 00219355 NLM ISO Abbreviation: J Bone Joint Surg Am Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Boston, MA : Journal of Bone and Joint Surgery
مواضيع طبية MeSH: Decompression, Surgical*/methods , Decompression, Surgical*/adverse effects , Exostoses, Multiple Hereditary*/surgery , Exostoses, Multiple Hereditary*/complications , Peroneal Nerve*/surgery, Humans ; Male ; Female ; Retrospective Studies ; Adolescent ; Child ; Adult ; Young Adult ; Fibula/surgery ; Postoperative Complications/etiology ; Middle Aged ; Bone Neoplasms/surgery ; Treatment Outcome ; Peroneal Neuropathies/surgery ; Peroneal Neuropathies/etiology ; Neoplasm Recurrence, Local/surgery
مستخلص: Background: To our knowledge, there have been no studies examining peroneal nerve decompression and proximal fibular osteochondroma excision exclusively in patients with multiple hereditary exostoses (MHE). The purpose of this study was to evaluate the indications, complications, and recurrence associated with nerve decompression and proximal fibular osteochondroma excision in patients with MHE.
Methods: The records on patients with MHE undergoing peroneal nerve decompression from 2009 to 2023 were retrospectively reviewed. Indications, clinical status, surgical technique, recurrence, and complications were recorded and were analyzed using the Fisher exact test, logistic regression, and the Kaplan-Meier method.
Results: There were 126 limbs identified in patients with MHE who underwent peroneal nerve decompression. The most common indications were pain over the proximal fibula, tibialis anterior and/or extensor hallucis longus weakness, and dysesthesias and/or neuropathic pain. Seven cases experienced postoperative foot drop as a complication of the decompression and osteochondroma excision. Logistic regression found significant relationships between complications and excision of anterior osteochondromas (odds ratio [OR], 5.21; p = 0.0062), proximal fibular excision (OR, 14.73; p = 0.0051), and previous decompression (OR, 5.77; p = 0.0124). The recurrence rate was 13.8%, and all recurrences occurred in patients who were skeletally immature at the index procedure. The probability of skeletally immature patients not experiencing recurrence was 88% at 3 years postoperatively and 73% at 6 years postoperatively.
Conclusions: Indications for peroneal nerve decompression included neurologic symptoms and pain. The odds of a complication increased with excision of anterior osteochondromas and previous decompression. Recurrence of symptoms following decompression and osteochondroma excision was found exclusively in skeletally immature patients.
Level of Evidence: Therapeutic Level III . See Instructions for Authors for a complete description of levels of evidence.
Competing Interests: Disclosure: No external funding was received for this study. The Article Processing Charge for open access publication was funded by the MHE Research Foundation, Brooklyn, New York. The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article ( http://links.lww.com/JBJS/H983 ).
(Copyright © 2024 The Authors. Published by The Journal of Bone and Joint Surgery, Incorporated. All rights reserved.)
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تواريخ الأحداث: Date Created: 20240425 Date Completed: 20240717 Latest Revision: 20240724
رمز التحديث: 20240726
DOI: 10.2106/JBJS.23.01398
PMID: 38662808
قاعدة البيانات: MEDLINE
الوصف
تدمد:1535-1386
DOI:10.2106/JBJS.23.01398