ArticleJournal of experimental orthopaedics2022
Common peroneal nerve palsy after TKA in valgus deformities; a systematic review.
Article in Journal of experimental orthopaedics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 14 citations in OpenAlex.
- Chronic Pain and Stiffness After Total Knee Arthroplasty: A Comprehensive, Phenotype-Based Review of Mechanisms, Diagnosis and Management.Journal of clinical medicine · 2026Review
- Anatomical Landmarks for Decompression of Common Peroneal Nerve: A Cadaveric study.Plastic and reconstructive surgery. Global open · 2026Article
- Prevalence and Nomogram-Based Prediction Model of Neuropathic Pain After Knee Arthroplasty.Journal of pain research · 2026Article
- Lateral Collateral Ligament Partial Release Osteotomy Technique to Increase a Tight Lateral Knee Joint Space for Knee Arthroscopy.Arthroscopy techniques · 2025Article
- Medial closing wedge distal femur osteotomy by medial approach using paediatric locking plate for correction of Genu Valgum in adolescents.International orthopaedics · 2025Article
- Surgical management of peripheral nerve symptoms following knee arthroplasty.Arthroplasty (London, England) · 2025Article
- Gradual Correction of Valgus Deformities of the Tibia Using a Monolateral External Fixator.Strategies in trauma and limb reconstructionArticle
Corrections and comments
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Authors and funding
5 authors at 1 institution in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe aim of this systematic review is to investigate the prevalence of Common Peroneal Nerve Palsy after total knee arthroplasty in valgus deformities. Furthermore, the effectiveness of a peroneal nerve release prior to arthroplasty to prevent the palsy will be investigated.
methodsPubMed and Google Scholar were searched. Search terms regarding valgus deformity and total knee arthroplasty were used. Data analysis and extraction were performed using the web application 'Rayyan QCRI' according to PRISMA guidelines and screened according to the inclusion and exclusion criteria.
resultsTwenty-seven studies were included, representing 1397 valgus knees. Knee balancing was performed in 19 studies with lateral soft tissue releases (1164 knees) and 8 studies (233 knees) with an additional osteotomy. Two studies (41 knees) in the lateral soft tissue release group conducted a peroneal nerve release simultaneous to arthroplasty. Common peroneal nerve palsies occurred in 26 cases (1.9%). Overall, no significant difference in palsy ratio between studies was found by using a peroneal nerve release (p = 0.90), between lateral soft tissue releases and osteotomies (p = 0.11) or between releases of specific ligaments.
conclusionCommon peroneal nerve palsies occur in 1.9% of the cases after total knee arthroplasty in valgus deformities. No difference in the number of palsies was seen when using a peroneal nerve release or using different balancing techniques. However, literature about peroneal nerve releases was very limited, therefore, the effectiveness of a peroneal nerve release remains unclear. LEVEL OF EVIDENCE: LEVEL III: Systematic review.
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