Abstract
We present a patient who had a common peroneal nerve palsy complication due to anti-embolism stocking compression following total hip arthroplasty (THA) surgery performed via the anterior approach (AA). The patient was a 17-year-old underweight female and have experienced bilateral hip pain for the last 3 years. Pelvic X-rays revealed bilateral osteonecrosis of the femoral head and THA surgery for the left hip via the AA was done. Common peroneal palsy developed due to anti-embolism stocking compression on the first postoperative day, which was confirmed by ultrasonography (USG). The common peroneal nerve returned to full function in the third postoperative month with complete healing and the patient was followed up for 3 years. Several etiologic factors have been reported as the cause of the common peroneal nerve palsy following THA surgery. Common peroneal palsy caused by anti-embolism stocking as in our case is an etiologic factor to be considered by arthroplasty surgeons.
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References
Asopa V, Al-Nammari S, Spriggins T, Menz T, Bauze A. Sciatic Nerve Palsy following Total Hip Replacement via Direct Anterior Approach after Recommencement of Warfarin for Prophylaxis in Atrial Fibrillation. Case Rep Orthop. 2014;2014:810481.
Barnett, S. L., Peters, D. J., Hamilton, W. G., Ziran, N. M., Gorab, R. S., & Matta, J. M. (2016). Is the anterior approach safe? Early complication rate associated with 5090 consecutive primary total hip arthroplasty procedures performed using the anterior approach. Journal of Arthroplasty, 31(10), 2291–2294.
Bhandari, M., Matta, J. M., Dodgin, D., Clark, C., Kregor, P., Bradley, G., et al. (2009). Outcomes following the single-incision anterior approach to total hip arthroplasty: a multicenter observational study. Orthopedic Clinics of North America, 40(3), 329–342.
Hallert, O., Li, Y., Brismar, H., & Lindgren, U. (2012). The direct anterior approach: Initial experience of a minimally invasive technique for total hip arthroplasty. Journal of Orthopaedic Surgery and Research, 7, 17.
Macintyre, L., Kent, K., & McPhee, D. (2013). Do anti-embolism stockings fit our legs? Leg survey and data analysis. International Journal of Nursing Studies, 50(7), 914–923.
Spaans, A. J., van den Hout, J. A. A. M., & Bolder, S. B. T. (2012). High complication rate in the early experience of minimally invasive total hip arthroplasty by the direct anterior approach. Acta Orthopaedica, 83(4), 342–346.
Christensen, C. P., Karthikeyan, T., & Jacobs, C. A. (2014). Greater prevalence of wound complications requiring reoperation with direct anterior approach total hip arthroplasty. Journal of Arthroplasty, 29(9), 1839–1841.
Macheras, G. A., Christofilopoulos, P., Lepetsos, P., Leonidou, A. O., Anastasopoulos, P. P., & Galanakos, S. P. (2016). Nerve injuries in total hip arthroplasty with a mini invasive anterior approach. Hip Int J Clin Exp Res hip Pathol Ther., 26(4), 338–343.
Kawano, S., Sonohata, M., Kitajima, M., & Mawatari, M. (2018). Risk factors for the development of nerve palsy following primary total hip arthroplasty. Open Orthop J., 12, 164–172.
Unwin, A., & Scott, J. (1999). Nerve palsy after hip replacement: medico-legal implications. International Orthopaedics, 23(3), 133–137.
Suk, J. I., Walker, F. O., & Cartwright, M. S. (2013). Ultrasonography of peripheral nerves. Current Neurology and Neuroscience Reports, 13(2), 328.
Jacobson JA, Wilson TJ, Yang LJ-S. Sonography of common peripheral nerve disorders with clinical correlation. J ultrasound Med Off J Am Inst Ultrasound Med. 2016;35(4):683–93.
Hirate H, Sobue K, Tsuda T, Katsuya H. Peripheral nerve injury caused by misuse of elastic stockings. Vol. 35, Anaesthesia and intensive care. United States; 2007. p. 306–7.
O’Brien CM, Eltigani T. Common peroneal nerve palsy as a possible sequelae of poorly fitting below-knee thromboembolic deterrent stockings (TEDS). Vol. 57, Annals of plastic surgery. United States; 2006. p. 356–7.
Hardin JM, Devendra S. Anatomy, Bony Pelvis and Lower Limb, Calf Common Peroneal (Fibular) Nerve. In Treasure Island (FL); 2021.
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EAO: conceptualization/design, methodology, investigation, supervision/oversight. EU: conceptualization/design, methodology, data curation, formal analysis. KB: methodology, supervision/oversight. Each author certifies that he or she has no commercial associations (e.g., consultancies, stock ownership, equity interest, patent/licensing arrangements, etc.) that might pose a conflict of interest in connection with the submitted article. Our study was performed in Department of Orthopedics and Traumatology, Ankara University.
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Özbek, E.A., Üstüner, E. & Başarır, K. Can Anti-embolism Stockings Cause Common Peroneal Nerve Palsy Following Total Hip Arthroplasty Via Anterior Approach? A Case Report. JOIO 56, 505–509 (2022). https://doi.org/10.1007/s43465-021-00499-y
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DOI: https://doi.org/10.1007/s43465-021-00499-y