Common peroneal nerve palsy after TKA in valgus deformities; a systematic review
Abstract Purpose The aim of this systematic review is to investigate the prevalence of Common Peroneal Nerve Palsy after total knee arthroplasty in valgus deformities. Furthermore, the effectiveness of a peroneal nerve release prior to arthroplasty to prevent the palsy will be investigated. Methods...
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| Language: | English |
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Wiley
2022-01-01
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| Series: | Journal of Experimental Orthopaedics |
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| Online Access: | https://doi.org/10.1186/s40634-021-00443-x |
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| author | Raymond Puijk Rachid Rassir Laura M. Kok Inger N. Sierevelt Peter A. Nolte |
| author_facet | Raymond Puijk Rachid Rassir Laura M. Kok Inger N. Sierevelt Peter A. Nolte |
| author_sort | Raymond Puijk |
| collection | DOAJ |
| description | Abstract Purpose The aim of this systematic review is to investigate the prevalence of Common Peroneal Nerve Palsy after total knee arthroplasty in valgus deformities. Furthermore, the effectiveness of a peroneal nerve release prior to arthroplasty to prevent the palsy will be investigated. Methods PubMed and Google Scholar were searched. Search terms regarding valgus deformity and total knee arthroplasty were used. Data analysis and extraction were performed using the web application ‘Rayyan QCRI’ according to PRISMA guidelines and screened according to the inclusion and exclusion criteria. Results Twenty‐seven studies were included, representing 1397 valgus knees. Knee balancing was performed in 19 studies with lateral soft tissue releases (1164 knees) and 8 studies (233 knees) with an additional osteotomy. Two studies (41 knees) in the lateral soft tissue release group conducted a peroneal nerve release simultaneous to arthroplasty. Common peroneal nerve palsies occurred in 26 cases (1.9%). Overall, no significant difference in palsy ratio between studies was found by using a peroneal nerve release (p = 0.90), between lateral soft tissue releases and osteotomies (p = 0.11) or between releases of specific ligaments. Conclusion Common peroneal nerve palsies occur in 1.9% of the cases after total knee arthroplasty in valgus deformities. No difference in the number of palsies was seen when using a peroneal nerve release or using different balancing techniques. However, literature about peroneal nerve releases was very limited, therefore, the effectiveness of a peroneal nerve release remains unclear. Level of evidence LEVEL III: Systematic review. |
| format | Article |
| id | doaj-art-b341d14da6b24915bafdfafca6a690fa |
| institution | DOAJ |
| issn | 2197-1153 |
| language | English |
| publishDate | 2022-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Experimental Orthopaedics |
| spelling | doaj-art-b341d14da6b24915bafdfafca6a690fa2025-08-20T03:19:21ZengWileyJournal of Experimental Orthopaedics2197-11532022-01-0191n/an/a10.1186/s40634-021-00443-xCommon peroneal nerve palsy after TKA in valgus deformities; a systematic reviewRaymond Puijk0Rachid Rassir1Laura M. Kok2Inger N. Sierevelt3Peter A. Nolte4Department of Orthopaedic SurgerySpaarne GasthuisSpaarnepoort 1, 2130ATHoofddorpthe NetherlandsDepartment of Orthopaedic SurgerySpaarne GasthuisSpaarnepoort 1, 2130ATHoofddorpthe NetherlandsDepartment of Orthopaedic SurgerySpaarne GasthuisSpaarnepoort 1, 2130ATHoofddorpthe NetherlandsDepartment of Orthopaedic SurgerySpaarne GasthuisSpaarnepoort 1, 2130ATHoofddorpthe NetherlandsDepartment of Orthopaedic SurgerySpaarne GasthuisSpaarnepoort 1, 2130ATHoofddorpthe NetherlandsAbstract Purpose The aim of this systematic review is to investigate the prevalence of Common Peroneal Nerve Palsy after total knee arthroplasty in valgus deformities. Furthermore, the effectiveness of a peroneal nerve release prior to arthroplasty to prevent the palsy will be investigated. Methods PubMed and Google Scholar were searched. Search terms regarding valgus deformity and total knee arthroplasty were used. Data analysis and extraction were performed using the web application ‘Rayyan QCRI’ according to PRISMA guidelines and screened according to the inclusion and exclusion criteria. Results Twenty‐seven studies were included, representing 1397 valgus knees. Knee balancing was performed in 19 studies with lateral soft tissue releases (1164 knees) and 8 studies (233 knees) with an additional osteotomy. Two studies (41 knees) in the lateral soft tissue release group conducted a peroneal nerve release simultaneous to arthroplasty. Common peroneal nerve palsies occurred in 26 cases (1.9%). Overall, no significant difference in palsy ratio between studies was found by using a peroneal nerve release (p = 0.90), between lateral soft tissue releases and osteotomies (p = 0.11) or between releases of specific ligaments. Conclusion Common peroneal nerve palsies occur in 1.9% of the cases after total knee arthroplasty in valgus deformities. No difference in the number of palsies was seen when using a peroneal nerve release or using different balancing techniques. However, literature about peroneal nerve releases was very limited, therefore, the effectiveness of a peroneal nerve release remains unclear. Level of evidence LEVEL III: Systematic review.https://doi.org/10.1186/s40634-021-00443-xValgus deformityTotal knee arthroplastySoft tissue releasePeroneal nerve releaseCommon peroneal nerve palsy |
| spellingShingle | Raymond Puijk Rachid Rassir Laura M. Kok Inger N. Sierevelt Peter A. Nolte Common peroneal nerve palsy after TKA in valgus deformities; a systematic review Journal of Experimental Orthopaedics Valgus deformity Total knee arthroplasty Soft tissue release Peroneal nerve release Common peroneal nerve palsy |
| title | Common peroneal nerve palsy after TKA in valgus deformities; a systematic review |
| title_full | Common peroneal nerve palsy after TKA in valgus deformities; a systematic review |
| title_fullStr | Common peroneal nerve palsy after TKA in valgus deformities; a systematic review |
| title_full_unstemmed | Common peroneal nerve palsy after TKA in valgus deformities; a systematic review |
| title_short | Common peroneal nerve palsy after TKA in valgus deformities; a systematic review |
| title_sort | common peroneal nerve palsy after tka in valgus deformities a systematic review |
| topic | Valgus deformity Total knee arthroplasty Soft tissue release Peroneal nerve release Common peroneal nerve palsy |
| url | https://doi.org/10.1186/s40634-021-00443-x |
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