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[PMID]:28552040
[Au] Autor:Cho BK; Park KJ; Choi SM; Im SH; SooHoo NF
[Ad] Endereço:1 Department of Orthopaedic Surgery, College of Medicine, Chungbuk National University, Cheongju, Korea.
[Ti] Título:Functional Outcomes Following Anterior Transfer of the Tibialis Posterior Tendon for Foot Drop Secondary to Peroneal Nerve Palsy.
[So] Source:Foot Ankle Int;38(6):627-633, 2017 Jun.
[Is] ISSN:1944-7876
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: This retrospective comparative study reports the practical function in daily and sports activities after tibialis posterior tendon transfer for foot drop secondary to peroneal nerve palsy. METHODS: Seventeen patients were followed for a minimum of 3 years after tibialis posterior tendon transfer for foot drop secondary to peroneal nerve palsy. Matched controls were used to evaluate the level of functional restoration. Functional evaluations included American Orthopaedic Foot & Ankle Society (AOFAS) scores, Foot and Ankle Outcome Score (FAOS), Foot and Ankle Ability Measure (FAAM) scores, and isokinetic muscle strength test. Radiographic evaluation for the changes of postoperative foot alignment included Meary angle, calcaneal pitch angle, hindfoot alignment angle, and navicular height. RESULTS: Mean AOFAS, FAOS, and FAAM scores significantly improved from 65.1 to 86.2, 55.6 to 87.8, and 45.7 to 84.4 points at final follow-up, respectively. However, all functional evaluation scores were significantly lower as compared to the control group ( P < .001). Mean peak torque (60 degrees/sec) of ankle dorsiflexors, plantarflexors, invertors, and evertors at final follow-up were 7.1 (deficit ratio of 65.4%), 39.2, 9.8, and 7.3 Nm, respectively. These muscle strengths were significantly lower compared to the control group ( P < .001). No significant differences in radiographic measurements were found, and no patients presented with a postoperative flat foot deformity. One patient (5.9%) needed an ankle-foot orthosis for occupational activity. CONCLUSIONS: Anterior transfer of the tibialis posterior tendon appears to be an effective surgical option for paralytic foot drop secondary to peroneal nerve palsy. Although restoration of dorsiflexion strength postoperatively was about 33% of the normal ankle, function in daily activities and gait ability were satisfactorily improved. In addition, tibialis posterior tendon transfer demonstrated no definitive radiographic or clinical progression to postoperative flat foot deformity at intermediate-term follow-up. LEVEL OF EVIDENCE: Level IV, retrospective case series.
[Mh] Termos MeSH primário: Articulação do Tornozelo/fisiopatologia
Pé Chato/fisiopatologia
Nervo Fibular/fisiologia
Neuropatias Fibulares/fisiopatologia
Transferência Tendinosa/métodos
Tendões/fisiologia
[Mh] Termos MeSH secundário: Seres Humanos
Aparelhos Ortopédicos/normas
Estudos Retrospectivos
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171113
[Lr] Data última revisão:
171113
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170530
[St] Status:MEDLINE
[do] DOI:10.1177/1071100717695508


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[PMID]:28258311
[Au] Autor:Wilson TJ; Hébert-Blouin MN; Murthy NS; Amrami KK; Spinner RJ
[Ad] Endereço:Department of Neurosurgery, Mayo Clinic, 200 1st St. SW, Rochester, MN, 55905, USA.
[Ti] Título:Recognition of peroneal intraneural ganglia in an historical cohort with "negative" MRIs.
[So] Source:Acta Neurochir (Wien);159(5):925-930, 2017 May.
[Is] ISSN:0942-0940
[Cp] País de publicação:Austria
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The objective of this study was to review an historical cohort of patients with peroneal neuropathy and magnetic resonance imaging (MRI) read as negative for mass or cyst to determine if occult peroneal intraneural ganglion cysts can be identified on subsequent imaging review and to use this as an estimation of how under-recognized this pathologic entity is. METHOD: The patient cohort utilized in this study was a previously published control cohort of 11 patients with peroneal neuropathy and MRI read as negative for mass or cyst. Clinical history, neurologic examination, and MRI studies of the knee were reviewed for each of the included patients. The primary outcome of interest was the presence of peroneal intraneural ganglion cyst on MRI. RESULTS: Overall, 7 of 11 (64%) patients in this historical "normal" cohort had evidence of a peroneal intraneural ganglion cyst on subsequent review of imaging. Deep peroneal-predominant weakness, knee pain, and tibialis anterior-predominant denervation/atrophy were seen more commonly in patients in whom an intraneural cyst was identified. CONCLUSIONS: This retrospective cohort study provides evidence that peroneal intraneural ganglion cysts are an historically under-recognized cause of peroneal neuropathy, with 64% of this historical "negative" cohort having evidence of a cyst on subsequent imaging review. Larger studies are needed to determine the treatment ramifications of identifying small cysts and to determine the clinical features suggestive of an intraneural ganglion cyst.
[Mh] Termos MeSH primário: Erros de Diagnóstico
Cistos Glanglionares/diagnóstico
Imagem por Ressonância Magnética/normas
Neuropatias Fibulares/diagnóstico
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Feminino
Cistos Glanglionares/diagnóstico por imagem
Cistos Glanglionares/patologia
Cistos Glanglionares/cirurgia
Seres Humanos
Articulação do Joelho/diagnóstico por imagem
Articulação do Joelho/patologia
Articulação do Joelho/cirurgia
Masculino
Meia-Idade
Neuropatias Fibulares/diagnóstico por imagem
Neuropatias Fibulares/patologia
Neuropatias Fibulares/cirurgia
Estudos Retrospectivos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170911
[Lr] Data última revisão:
170911
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170305
[St] Status:MEDLINE
[do] DOI:10.1007/s00701-017-3130-3


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[PMID]:28245669
[Au] Autor:Wilson TJ; Hébert-Blouin MN; Murthy NS; García JJ; Amrami KK; Spinner RJ
[Ad] Endereço:Departments of 1 Neurosurgery.
[Ti] Título:The nearly invisible intraneural cyst: a new and emerging part of the spectrum.
[So] Source:Neurosurg Focus;42(3):E10, 2017 Mar.
[Is] ISSN:1092-0684
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE The authors have observed that a subset of patients referred for evaluation of peroneal neuropathy with "negative" findings on MRI of the knee have subtle evidence of a peroneal intraneural ganglion cyst on subsequent closer inspection. The objective of this study was to introduce the nearly invisible peroneal intraneural ganglion cyst and provide illustrative cases. The authors further wanted to identify clues to the presence of a nearly invisible cyst. METHODS Illustrative cases demonstrating nearly invisible peroneal intraneural ganglion cysts were retrospectively reviewed and are presented. Case history and physical examination, imaging, and intraoperative findings were reviewed for each case. The outcomes of interest were the size and configuration of peroneal intraneural ganglion cysts over time, relative to various interventions that were performed, and in relation to physical examination and electrodiagnostic findings. RESULTS The authors present a series of cases that highlight the dynamic nature of peroneal intraneural ganglion cysts and introduce the nearly invisible cyst as a new and emerging part of the spectrum. The cases demonstrate changes in size and morphology over time of both the intraneural and extraneural compartments of these cysts. Despite "negative" MR imaging findings, nearly invisible cysts can be identified in a subset of patients. CONCLUSIONS The authors demonstrate here that peroneal intraneural ganglion cysts ride a roller coaster of change in both size and morphology over time, and they describe the nearly invisible cyst as one end of the spectrum. They identified clues to the presence of a nearly invisible cyst, including deep peroneal predominant symptoms, fluctuating symptoms, denervation changes in the tibialis anterior muscle, and abnormalities of the superior tibiofibular joint, and they correlate the subtle imaging findings to the internal fascicular topography of the common peroneal nerve. The description of the nearly invisible cyst may allow for increased recognition of this pathological entity that occurs with a spectrum of findings.
[Mh] Termos MeSH primário: Cistos Glanglionares/diagnóstico por imagem
Cistos Glanglionares/cirurgia
Neuropatias Fibulares/diagnóstico por imagem
Neuropatias Fibulares/cirurgia
[Mh] Termos MeSH secundário: Adulto
Idoso
Feminino
Seres Humanos
Masculino
Meia-Idade
Estudos Retrospectivos
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170308
[Lr] Data última revisão:
170308
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170302
[St] Status:MEDLINE
[do] DOI:10.3171/2016.12.FOCUS16439


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[PMID]:27989337
[Au] Autor:Kihm CA; Camasta CA
[Ad] Endereço:Faculty, The Podiatry Institute, Decatur, GA, and Private Practice, Marietta, GA. Electronic address: carlkihm@gmail.com.
[Ti] Título:Review of Drop Hallux: Assessment and Surgical Repair.
[So] Source:J Foot Ankle Surg;56(1):103-107, 2017 Jan - Feb.
[Is] ISSN:1542-2224
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Peroneal nerve palsy is common. The hallmark clinical manifestation of peroneal nerve palsy is drop foot. In the drop foot condition, the ankle cannot flex, and the foot does not clear the ground during the swing phase of gait. Spontaneous nerve repair can yield complete or incomplete resolution of drop foot. Some patients with incomplete resolution are left with a drop hallux condition, in which the ankle can dorsiflex, but the hallux remains unable to dorsiflex. This has not been thoroughly discussed in the past, regarding surgical repair. In the present report, we have reviewed the drop hallux condition and an effective surgical repair option (extensor hallucis longus to tibialis anterior tendon anastomosis). Our case report presents a healthy 27-year-old male who had persistent drop hallux after drop foot resolution, 3 years after external fixation of a closed, proximal tibia-fibula fracture.
[Mh] Termos MeSH primário: Fixadores Externos
Deformidades Adquiridas do Pé/cirurgia
Fixação de Fratura/efeitos adversos
Neuropatias Fibulares/cirurgia
Transferência Tendinosa/métodos
Fraturas da Tíbia/cirurgia
[Mh] Termos MeSH secundário: Adulto
Seguimentos
Deformidades Adquiridas do Pé/diagnóstico por imagem
Deformidades Adquiridas do Pé/etiologia
Fixação de Fratura/instrumentação
Transtornos Neurológicos da Marcha/prevenção & controle
Transtornos Neurológicos da Marcha/cirurgia
Hálux/fisiopatologia
Hálux/cirurgia
Seres Humanos
Masculino
Neuropatias Fibulares/etiologia
Complicações Pós-Operatórias/diagnóstico
Complicações Pós-Operatórias/cirurgia
Recuperação de Função Fisiológica
Futebol/lesões
Fraturas da Tíbia/diagnóstico por imagem
Resultado do Tratamento
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170807
[Lr] Data última revisão:
170807
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161220
[St] Status:MEDLINE


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[PMID]:27694375
[Au] Autor:Kodaira M; Sekijima Y; Ohashi N; Takahashi Y; Ueno K; Miyazaki D; Ikeda S
[Ad] Endereço:Department of Medicine (Neurology and Rheumatology), Shinshu University School of Medicine, 3-1-1 Asahi, Matsumoto 390-8621, Japan. mkodaira@shinshu-u.ac.jp.
[Ti] Título:Squatting-induced bilateral peroneal nerve palsy in a sewer pipe worker.
[So] Source:Occup Med (Lond);67(1):75-77, 2017 Jan.
[Is] ISSN:1471-8405
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Compression neuropathy of the common peroneal nerve (CPN) at the fibula head is a common condition, but it has not attracted attention in working environments. Here, we report a 38-year-old sewer pipe worker who presented with bilateral CPN palsy following 6h working with a squatting posture in a narrow sewer pipe. During the work, he could not stretch his legs sufficiently because of the confined space. His symptoms deteriorated with repetition of the same work for 1 week. Motor nerve conduction study showed conduction block at the fibula head of bilateral CPNs, compatible with compression neuropathy at this lesion. Three months after cessation of work requiring the causative posture, his symptoms and neurophysiological abnormalities had resolved completely. Almost all seven of his co-workers presented transiently with similar and milder symptoms, although one showed CPN palsy for 6 months. Prolonged squatting posture in a confined space causes acute compression neuropathy at the fibula head in the CPN. More attention should be paid to 'confined space worker's compression neuropathy'.
[Mh] Termos MeSH primário: Artrogripose/complicações
Neuropatia Hereditária Motora e Sensorial/complicações
Nervo Fibular/fisiopatologia
Postura/fisiologia
[Mh] Termos MeSH secundário: Adulto
Artrogripose/diagnóstico
Neuropatia Hereditária Motora e Sensorial/diagnóstico
Seres Humanos
Masculino
Neuropatias Fibulares/complicações
Neuropatias Fibulares/diagnóstico
Neuropatia Tibial/complicações
Neuropatia Tibial/diagnóstico
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170912
[Lr] Data última revisão:
170912
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161004
[St] Status:MEDLINE
[do] DOI:10.1093/occmed/kqw133


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[PMID]:27668978
[Au] Autor:Bignotti B; Assini A; Signori A; Martinoli C; Tagliafico A
[Ad] Endereço:Department of Health Sciences (DISSAL), University of Genoa, Genoa, Italy.
[Ti] Título:Ultrasound versus MRI in common fibular neuropathy.
[So] Source:Muscle Nerve;55(6):849-857, 2017 Jun.
[Is] ISSN:1097-4598
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: We prospectively compared ultrasound (US) and MRI in patients with common fibular neuropathy. METHODS: Forty adult patients with clinical suspicion of common fibular neuropathy and 40 healthy controls underwent both US and MRI. US and MRI datasets were randomized for prospective reading. RESULTS: The overall sensitivity of US and MRI for diagnosing fibular neuropathy was 90% (95% confidence interval [CI], 79.7%-97.3%) and 87.5% (95% CI, 71.55%-93.1%), respectively. The overall specificity of US and MRI was 92% (95% CI, 77.45%-96.1%) and 85% (95% CI, 73.3%-94.4%), respectively. The overall sensitivity and specificity of US combined with MRI were 94% (95% CI, 0.80%-0.99%) and 84% (95% CI, 0.70%-0.91%), respectively. Overall intra- and inter-observer agreements among 3 readers were 0.76% (95% CI, 0.62%-0.85%) and 0.74% (95% CI, 0.65%-0.81%). CONCLUSIONS: US diagnostic accuracy for common fibular neuropathy was slightly higher than that of MRI. Muscle Nerve 55: 849-857, 2017.
[Mh] Termos MeSH primário: Imagem por Ressonância Magnética
Músculo Esquelético/diagnóstico por imagem
Neuropatias Fibulares/diagnóstico por imagem
Ultrassonografia
[Mh] Termos MeSH secundário: Adulto
Idoso
Feminino
Seres Humanos
Masculino
Meia-Idade
Exame Neurológico
Sensibilidade e Especificidade
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160927
[St] Status:MEDLINE
[do] DOI:10.1002/mus.25418


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[PMID]:27615598
[Au] Autor:Karakis I; Khoshnoodi M; Liew W; Nguyen ES; Jones HR; Darras BT; Kang PB
[Ad] Endereço:Department of Neurology, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
[Ti] Título:Electrophysiologic features of fibular neuropathy in childhood and adolescence.
[So] Source:Muscle Nerve;55(5):693-697, 2017 May.
[Is] ISSN:1097-4598
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: We studied patterns of nerve injury in pediatric common fibular (peroneal) neuropathy (CFN). METHODS: A retrospective analysis was performed on data from 53 children with CFN at a pediatric electromyography laboratory. RESULTS: Conduction block at the fibular head was present in 35% of patients. Deep fibular axonal loss was identified in 77%, while superficial fibular axonal loss was identified in 45%. The pathophysiology was predominantly axonal in 72%, mostly demyelinating in 6%, and mixed in 22%. Predominantly demyelinating lesions at the fibular head demonstrated sparing of the superficial fibular sensory nerve (P = 0.01, Fischer exact test). Predominantly axonal lesions had a moderate correlation between superficial and deep fibular axonal loss (Spearman r = 0.52; P = 0.0001). CONCLUSIONS: There is frequent axonal and fascicular injury in pediatric CFN, similar to adults. Deep and superficial fibular nerve involvements correlate in axonal lesions, whereas superficial fibular sensory fibers are often spared in demyelinating lesions. Muscle Nerve, 2016 Muscle Nerve 55: 693-697, 2017.
[Mh] Termos MeSH primário: Potenciais de Ação/fisiologia
Músculo Esquelético/fisiopatologia
Condução Nervosa/fisiologia
Nervo Fibular/fisiopatologia
Neuropatias Fibulares/fisiopatologia
[Mh] Termos MeSH secundário: Adolescente
Axônios/fisiologia
Criança
Pré-Escolar
Eletromiografia
Feminino
Seres Humanos
Lactente
Masculino
Estudos Retrospectivos
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170428
[Lr] Data última revisão:
170428
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160913
[St] Status:MEDLINE
[do] DOI:10.1002/mus.25403


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[PMID]:27581424
[Au] Autor:Mitsiokapa E; Mavrogenis AF; Drakopoulos D; Mauffrey C; Scarlat M
[Ad] Endereço:First Department of Orthopaedics, National and Kapodistrian University of Athens, School of Medicine, 41 Ventouri Street, 15562, Holargos, Athens, Greece.
[Ti] Título:Peroneal nerve palsy after ankle sprain: an update.
[So] Source:Eur J Orthop Surg Traumatol;27(1):53-60, 2017 Jan.
[Is] ISSN:1633-8065
[Cp] País de publicação:France
[La] Idioma:eng
[Ab] Resumo:Ankle sprains are extremely common in the general population and the most common injuries in athletes. Although rare, peroneal nerve palsy may occur simultaneously with ankle sprain. The exact incidence of nerve injury after ankle sprain is not known; few cases of peroneal nerve palsy associated with ankle sprains have been reported in the literature. The function of the peroneal nerve should be evaluated in all patients with a history of inversion ankle sprain as part of the initial and follow-up evaluation, even if the initial neurological status is normal, because delayed peroneal nerve palsy is possible. This article discusses the incidence, pathophysiology, evaluation, diagnosis and differential diagnosis, and management of the patients with peroneal nerve palsy after ankle sprain aiming to increase the awareness of the treating physicians for this nerve injury.
[Mh] Termos MeSH primário: Traumatismos do Tornozelo/complicações
Neuropatias Fibulares/etiologia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Criança
Diagnóstico Diferencial
Feminino
Transtornos Neurológicos da Marcha/etiologia
Seres Humanos
Peptídeos e Proteínas de Sinalização Intercelular/uso terapêutico
Imagem por Ressonância Magnética
Masculino
Meia-Idade
Neuropatias Fibulares/terapia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Nm] Nome de substância:
0 (Intercellular Signaling Peptides and Proteins)
[Em] Mês de entrada:1705
[Cu] Atualização por classe:171011
[Lr] Data última revisão:
171011
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160902
[St] Status:MEDLINE
[do] DOI:10.1007/s00590-016-1845-0


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[PMID]:27506460
[Au] Autor:Brestas P; Protopsaltis I; Drossos C
[Ad] Endereço:Department of Ultrasonography, Melissia DRDC, P.Tsaldari 21, Melissia, 15127, Athens, Greece.
[Ti] Título:Role of sonography in the diagnosis and treatment of a ganglion cyst compressing the lateral branch of deep peroneal nerve.
[So] Source:J Clin Ultrasound;45(2):108-111, 2017 Feb.
[Is] ISSN:1097-0096
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Selective compression neuropathy of the lateral branch of the deep peroneal nerve is rare. A 55-year-old woman with ankle instability and mild weakness of extension of the toes was examined with sonography (US), which revealed the presence of a ganglion cyst compressing selectively the lateral branch of the deep peroneal nerve. US-guided aspiration of the cyst resulted in nerve decompression and progressive resolution of symptoms. This case demonstrates the importance of examining the deep peroneal nerve and its branches when performing US in the clinical setting of ankle instability. © 2016 Wiley Periodicals, Inc. J Clin Ultrasound 45:108-111, 2017.
[Mh] Termos MeSH primário: Cistos Glanglionares/diagnóstico por imagem
Síndromes de Compressão Nervosa/etiologia
Neuropatias Fibulares/etiologia
[Mh] Termos MeSH secundário: Feminino
Cistos Glanglionares/complicações
Seres Humanos
Meia-Idade
Síndromes de Compressão Nervosa/diagnóstico por imagem
Neuropatias Fibulares/diagnóstico por imagem
Ultrassonografia
[Pt] Tipo de publicação:CASE REPORTS
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170626
[Lr] Data última revisão:
170626
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160811
[St] Status:MEDLINE
[do] DOI:10.1002/jcu.22388


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[PMID]:26026274
[Au] Autor:Duivenvoorden T; van Diggele P; Reijman M; Bos PK; van Egmond J; Bierma-Zeinstra SMA; Verhaar JAN
[Ad] Endereço:Department of Orthopaedics, Erasmus University Medical Centre, PO Box 2040, 3000 CA, Rotterdam, The Netherlands. t.duivenvoorden@erasmusmc.nl.
[Ti] Título:Adverse events and survival after closing- and opening-wedge high tibial osteotomy: a comparative study of 412 patients.
[So] Source:Knee Surg Sports Traumatol Arthrosc;25(3):895-901, 2017 Mar.
[Is] ISSN:1433-7347
[Cp] País de publicação:Germany
[La] Idioma:eng
[Ab] Resumo:PURPOSE: Varus medial knee osteoarthritis (OA) can be treated with a closing-wedge (CW) or opening-wedge (OW) high tibial osteotomy (HTO). Little is known about the adverse event (AE) rate of these techniques. The purpose of this study was to examine the AE rate and survival rate of a consecutive series of 412 patients undergoing CW- or OW-HTO. METHODS: Medical records were retrospectively screened, and all patients who underwent HTO from 1993 to 2012 at the Erasmus University Medical Centre were assessed with a self-administered questionnaire. Patients filled in the intermittent and constant osteoarthritis pain score, knee injury and osteoarthritis outcome score, and a general questionnaire focusing on AE. RESULTS: Medical records of 412 patients (354 CW- and 112 OW-HTOs) were screened. Of the 358 eligible patients, 291 (81 %) returned their questionnaire. A total of 80 AE (17 %) were found in 466 osteotomies. In the CW-group, 47 (13 %) serious adverse events (SAE) and 2 (0.6 %) AE were found. In the OW-group, 17 (15 %) SAE and 14 (13 %) AE were found. The most common AE was in 14 (4 %) patients of the CW-group sensory palsy of the common peroneal nerve. The most common AE in the OW-group was persistent pain at the iliac crest [11 (9.8 %) patients]. Hardware was removed in 48 % of the CW-osteotomies and 71 % of the OW-osteotomies (p < 0.05). The probability of survival was 75 % after 10 years in the CW-group versus 90 % in the OW-group (p < 0.05). In both groups, an equal number of patients were "in need for prosthesis" according to OARSI criteria. CONCLUSION: OW-HTO was associated with more AE than CW-HTO. OW-HTO resulted in better survival than CW-HTO. However, in both groups an equal number of patients were in need for prosthesis. LEVEL OF EVIDENCE: Retrospective comparative study, Level III.
[Mh] Termos MeSH primário: Osteoartrite do Joelho/cirurgia
Osteotomia/efeitos adversos
Complicações Pós-Operatórias
Tíbia/cirurgia
[Mh] Termos MeSH secundário: Adulto
Artroplastia do Joelho
Feminino
Seres Humanos
Estimativa de Kaplan-Meier
Masculino
Meia-Idade
Osteotomia/métodos
Dor/etiologia
Neuropatias Fibulares/etiologia
Estudos Retrospectivos
Inquéritos e Questionários
Resultado do Tratamento
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170709
[Lr] Data última revisão:
170709
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150601
[St] Status:MEDLINE
[do] DOI:10.1007/s00167-015-3644-2



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