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OrthoVellum

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Adult Reconstruction
intermediate
X-Type

TKA Neurovascular Injury - Peroneal Nerve and Popliteal Vessels

TKA Complications

A 62-year-old woman with severe valgus deformity (20 degrees) undergoes TKA. Postoperatively, she is unable to dorsiflex her ankle or extend her toes. She has numbness over the dorsum of the foot and lateral leg. Motor examination reveals 0/5 ankle dorsiflexion, 0/5 toe extension, and 5/5 ankle plantarflexion. Knee flexion and extension are intact. Regarding peroneal nerve palsy after TKA:

Mark each as TRUE or FALSE

A

Peroneal nerve palsy is the most common neurological complication after TKA with an incidence of 0.3...

B

The common peroneal nerve divides into superficial and deep branches; deep peroneal nerve innervates...

C

Peroneal nerve palsy after TKA always requires surgical exploration; complete recovery occurs in les...

D

Initial management of peroneal nerve palsy includes: immediate knee flexion to relieve stretch on th...

E

This patient's presentation with foot drop, loss of dorsiflexion and toe extension, preserved planta...

Answer the questions to see explanations

Click T (True) or F (False) for each option