ReviewEFORT open reviews2021
Iatrogenic peripheral nerve injury: a guide to management for the orthopaedic limb surgeon.
Review in EFORT open reviews, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 5 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
33 citing papers in PubMed, 5 syntheses or guidelines pooled it, 44 citations in OpenAlex.
- Quadriceps, hamstring and patella tendon autografts for primary anterior cruciate ligament reconstruction demonstrate similar clinical outcomes, including graft failure, joint laxity and complications: A systematic review with meta-analysis of randomised controlled trials.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026Pooled it
- Research hotspots and emerging trends of macrophages in peripheral nerve injury: a bibliometric and visualization analysis.Frontiers in cellular neuroscience · 2026Pooled it
- Iatrogenic nerve injury following pelvic ring injury: a network meta-analysis.International journal of surgery (London, England) · 2025Pooled it
- The prevalence and risk factors for peripheral nerve injury following arthroplasty: a systematic review and meta-analysis.Journal of orthopaedic surgery and research · 2025Pooled it
- Postoperative ulnar neuropathy: a systematic review of evidence with narrative synthesis.British journal of anaesthesia · 2023Pooled it
- Iatrogenic Nerve Injuries Affecting Upper Limb Function: Medicolegal Implications.Journal of hand surgery global online · 2026Article
- Axillary nerve palsy incidence after total shoulder arthroplasty with and without neuromuscular blockade.JSES international · 2026Article
- Predictive model for postoperative hyperalgesia in patients with lower limb fractures undergoing nerve block surgery.Pakistan journal of medical sciences · 2026Article
- Review
- Clinical guidelines for complex extremity war wound management: update and consensus using a mixed-method approach.BJS open · 2025Article
- Application of Human Epineural Patch (hEP) as a Novel Strategy for Nerve Protection and Enhancement of Regeneration After Nerve Crush Injury.Biomedicines · 2025Article
- Article
- Electrodiagnostic Assessment of Peri-Procedural Iatrogenic Peripheral Nerve Injuries and Rehabilitation.Muscle & nerve · 2025Review
- Local infiltration anesthesia with high dose ropivacaine and dexmedetomidine in major knee surgery is safe.Archives of orthopaedic and trauma surgery · 2025Article
- Comparing scissors and scalpels to a novel surgical instrument: a biomechanical sectioning study.BMC biomedical engineering · 2024Article
- Anterograde Intramedullary Nailing without Bone Grafting for Humeral Shaft Nonunion Associated with Early Exploration of Secondary Radial Nerve Palsy: A Case Report.Neurology international · 2024Article
- Knowledge, attitudes, and practices of healthcare professionals toward rehabilitation of peripheral nerve injury.Scientific reports · 2024Article
- A single-center retrospective chart review of percutaneous PNS for treatment of chronic shoulder pain.Interventional pain medicine · 2024Article
- Salvage of Iatrogenic Sciatic Nerve Injury Caused by Operatively Treated Acetabular Fractures: Two Cases and Literature Review.Orthopaedic surgery · 2024Review
- Ten Myths in Nerve Surgery.Plastic and reconstructive surgery. Global open · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Nerves may be inadvertently injured during trauma surgery due to distorted anatomy, traction applied to a limb, soft tissue retraction, by power tools, instrumentation and from compartment syndrome. Elective orthopaedic surgery has additional risks of joint dislocation for arthroplasty surgery, limb lengthening, thermal injury from cement and direct injury from peripheral nerve blocks.The true incidence is unknown, and many cases are diagnosed as neurapraxia with the expectation of a full and timely recovery without the need for intervention. The incorrect assignation of a neurapraxia diagnosis may delay treatment for a higher grade of injury and in addition fails to recognize that a diagnosis of neurapraxia should be made with caution and a commitment to regular clinical review. Untreated, a neurapraxia can deteriorate and result in axonopathy. The failure to promptly diagnose such a nerve injury and instigate treatment may result in further deterioration and expose the clinician to medicolegal challenge.The focus of this review is to raise awareness of iatrogenic peripheral nerve injuries in orthopaedic limb surgery, the importance of regular clinical examination, the role of investigations, timing and nature of interventions and also to provide a guide to when onward referral to a specialist peripheral nerve injury unit is recommended. Cite this article:
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.