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Neurological Complications Related to Elective Orthopedic Surgery: Part 2: Common Hip and Knee Procedures
  1. Tim Dwyer, MBBS, FRACS, FRCSC*,†,‡,§,
  2. Michael Drexler, MD∥,
  3. Vincent W. S. Chan, MD, FRCPC, FRCA§,,
  4. Daniel B. Whelan, MD, MSc, FRCSC*,†,§,§ and
  5. Richard Brull, MD, FRCPC
  1. From the *University of Toronto Orthopedic Sports Medicine; †Division of Orthopedic Surgery, Department of Surgery, Women’s College; ‡Mount Sinai Hospital; §University of Toronto; ∥Division of Orthopedic Surgery, Department of Surgery, Mount Sinai Hospital, Toronto; ¶Department of Anesthesia, Toronto Western Hospital, University Health Network; and #St Michael’s Hospital, Toronto, Ontario, Canada
  1. Address correspondence to: Richard Brull, MD, FRCPC, Department of Anesthesia and Pain Management, Toronto Western Hospital, 399 Bathurst St, Toronto, Ontario, Canada M5T 2S8 (e-mail: richard.brull{at}uhn.ca).

Abstract

Many anesthesiologists may not be familiar with the rate of surgical neurological complications of the hip and knee procedures for which they are providing local anesthetic–based anesthesia and/or analgesia. Part 2 of this narrative review series on neurological complications of elective orthopedic surgery describes the mechanisms and likelihood of peripheral nerve injury associated with some of the most common hip and knee procedures, including arthroscopic hip and knee surgery and total hip and knee replacement.

What’s New As the popularity of regional anesthesia continues to increase with the development of ultrasound guidance, anesthesiologists should have a thoughtful understanding of the nerves at risk of surgical injury during elective hip and knee procedures.

https://doi.org/10.1097/AAP.0000000000000183

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    Footnotes

    • No funding was required for the preparation of this article.

      The authors declare no conflict of interest.