Iatrogenic femoral nerve palsy after a routine knee ligament surgery

Authors

  • Prunav Adhav Prithvi Raj Division of Sports Injuries, Regenerative Medicine & Joint Preservation, St. John's Medical College, Bangalore, Karnataka, India
  • Madan Mohan Division of Sports Injuries, Regenerative Medicine & Joint Preservation, St. John's Medical College, Bangalore, Karnataka, India
  • Anoop Pilar Division of Sports Injuries, Regenerative Medicine & Joint Preservation, St. John's Medical College, Bangalore, Karnataka, India
  • Harish Kodi Division of Sports Injuries, Regenerative Medicine & Joint Preservation, St. John's Medical College, Bangalore, Karnataka, India
  • Rajkumar S. Amaravathi Division of Sports Injuries, Regenerative Medicine & Joint Preservation, St. John's Medical College, Bangalore, Karnataka, India

DOI:

https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20234063

Keywords:

Femoral nerve, Tourniquet-palsy, Irrigation pump, Iatrogenic nerve injury, Knee ligament surgery

Abstract

Peripheral nerve injuries following surgery can have a significant impact on the rehabilitation process. We report a case of a 25-year-old male who was unable to actively raise his leg and extend his knee following knee surgery (Arthroscopic Posterior cruciate ligament reconstruction and Posterolateral corner reconstruction). Following the surgery, it was noticed that the patient's knee range of movements and power was 0/5 as per the Medical Research Council (MRC) scale. On subsequent evaluation, it was found to be due to femoral nerve axonal neuropathy. We report such a case of femoral nerve axonal neuropathy following arthroscopic posterior cruciate ligament (PCL) reconstruction and posterolateral corner (PLC) reconstruction.

References

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Published

2023-12-29