Dwyer Tim, Drexler Michael, Chan Vincent W S, Whelan Daniel B, Brull Richard
From the *University of Toronto Orthopedic Sports Medicine; †Division of Orthopedic Surgery, Department of Surgery, Women's College; ‡Mount Sinai Hospital; §University of Toronto; ∥Division of Orthopedic Surgery, Department of Surgery, Mount Sinai Hospital, Toronto; ¶Department of Anesthesia, Toronto Western Hospital, University Health Network; and #St Michael's Hospital, Toronto, Ontario, Canada.
Reg Anesth Pain Med. 2015 Sep-Oct;40(5):443-54. doi: 10.1097/AAP.0000000000000183.
Many anesthesiologists may not be familiar with the rate of surgical neurological complications of the hip and knee procedures for which they are providing local anesthetic-based anesthesia and/or analgesia. Part 2 of this narrative review series on neurological complications of elective orthopedic surgery describes the mechanisms and likelihood of peripheral nerve injury associated with some of the most common hip and knee procedures, including arthroscopic hip and knee surgery and total hip and knee replacement.
WHAT'S NEW: As the popularity of regional anesthesia continues to increase with the development of ultrasound guidance, anesthesiologists should have a thoughtful understanding of the nerves at risk of surgical injury during elective hip and knee procedures.
许多麻醉医生可能并不熟悉他们正在为其提供局部麻醉和/或镇痛的髋部和膝部手术的神经外科并发症发生率。这个关于择期骨科手术神经并发症的叙述性综述系列的第2部分描述了与一些最常见的髋部和膝部手术相关的周围神经损伤的机制和可能性，包括关节镜下髋部和膝部手术以及全髋关节和膝关节置换术。
随着超声引导技术的发展，区域麻醉的普及程度不断提高，麻醉医生应该对择期髋部和膝部手术中存在手术损伤风险的神经有深入的了解。
