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与择期骨科手术相关的神经并发症:第3部分:常见的足踝手术

Neurological Complications Related to Elective Orthopedic Surgery: Part 3: Common Foot and Ankle Procedures.

作者信息

Veljkovic Andrea, Dwyer Tim, Lau Johnny T, Abbas Kaniza Zahra, Salat Peter, Brull Richard

机构信息

From the *Division of Orthopedics, Department of Surgery, University Health Network-Toronto Western Division, University of Toronto; †Division of Orthopedics, Women's College and Mount Sinai Hospital, University of Toronto; ‡Joint Department of Medical Imaging, University Health Network, University of Toronto; and §Departments of Anesthesia, University Health Network-Toronto Western Division and Women's College Hospital, University of Toronto, Toronto, Ontario, Canada.

出版信息

Reg Anesth Pain Med. 2015 Sep-Oct;40(5):455-66. doi: 10.1097/AAP.0000000000000199.

DOI:10.1097/AAP.0000000000000199
PMID:26192548
Abstract

UNLABELLED

Part III of a review series on neurological complications of orthopedic surgery, this article describes the mechanisms and likelihood of peripheral nerve injury associated with some of the most common elective foot and ankle procedures for which anesthesiologists may administer regional anesthesia. Relevant information is broadly organized according to type of surgical procedure to facilitate reference by anesthesiologists and members of the anesthesia care team.

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 foot and ankle procedures.

摘要

未标注

本文是关于骨科手术神经并发症系列综述的第三部分,描述了与一些最常见的择期足踝手术相关的周围神经损伤的机制和可能性,麻醉医生可能会为这些手术实施区域麻醉。相关信息根据手术类型进行了广泛整理,以便麻醉医生和麻醉护理团队成员参考。

新内容

随着超声引导技术的发展,区域麻醉的应用越来越广泛,麻醉医生应该深入了解在择期足踝手术中面临手术损伤风险的神经。

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PLoS One. 2025 Aug 19;20(8):e0327605. doi: 10.1371/journal.pone.0327605. eCollection 2025.
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What Is the Risk of Postoperative Neurologic Symptoms After Regional Anesthesia in Upper Extremity Surgery? A Systematic Review and Meta-analysis of Randomized Trials.在上肢手术中进行区域麻醉后出现术后神经系统症状的风险是多少?一项随机试验的系统评价和荟萃分析。
Clin Orthop Relat Res. 2022 Dec 1;480(12):2374-2389. doi: 10.1097/CORR.0000000000002367. Epub 2022 Sep 9.
3
The influences of anesthesia methods on some complications after orthopedic surgery: a Bayesian network meta-analysis.
麻醉方法对骨科手术后某些并发症的影响:贝叶斯网状荟萃分析。
BMC Anesthesiol. 2019 Apr 9;19(1):49. doi: 10.1186/s12871-019-0701-2.
4
The Incidence of Complications Is Low Following Foot and Ankle Surgery for Which Peripheral Nerve Blocks Are Used for Postoperative Pain Management.在使用周围神经阻滞进行术后疼痛管理的足踝手术后,并发症的发生率较低。
HSS J. 2018 Jul;14(2):134-142. doi: 10.1007/s11420-017-9588-y. Epub 2017 Dec 7.