内侧半月板后角全内修复术后腓总神经损伤 1 例报告
Common Peroneal Nerve Injury Due to an All-Inside Repair of the Posterior Horn of Lateral Meniscus: A Case Report.
机构信息
Department of Orthopedics, Aizawa Hospital, Matsumoto, Japan.
出版信息
JBJS Case Connect. 2023 Feb 3;13(1). doi: e22.00460. eCollection 2023 Jan 1.
CASE
An 18-year-old man sustained a peroneal nerve (PN) injury during an all-inside repair of the posterior horn of the lateral meniscus from the medial portal. Although he could dorsiflex his ankle actively after emergence from general anesthesia, he had a foot drop on the day after surgery. Exploration of the PN at 5 months postoperatively revealed that the nerve was entrapped by the suture. Fifteen months after a nerve repair using a sural nerve graft, he recovered from the foot drop.
CONCLUSION
This case report highlights the risk of PN injury during an all-inside repair of the posterior horn of the lateral meniscus.
病例
一名 18 岁男性在经内侧入路进行外侧半月板后角的全内修复时发生腓总神经（PN）损伤。尽管他在全身麻醉苏醒后能够主动背屈踝关节，但术后第 2 天出现足下垂。术后 5 个月探查腓总神经时发现神经被缝线卡住。在使用腓肠神经移植进行神经修复 15 个月后，他的足下垂恢复。
结论
本病例报告强调了经内侧入路进行外侧半月板后角的全内修复时发生腓总神经损伤的风险。
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