Neurological complications of knee surgery

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Neurological complications of knee surgery. Peroneal nerve, Tibial nerve, Femoral nerve, Saphenous nerve. Fully referenced neurology checklist.

Peripheral nerves at risk

  • Peroneal nerve
  • Tibial nerve
  • Femoral nerve
  • Saphenous nerve

Possible risk factors

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References

  1. Horlocker TT, Hebl JR, Gali B, et al. Anesthetic, patient, and surgical risk factors for neurologic complications after prolonged total tourniquet time during total knee arthroplasty. Anesth Analg 2006; 102:950-955.
  2. Mingo-Robinet J, Castañeda-Cabrero C, Alvarez V, León Alonso-Cortés JM, Monge-Casares E. Tourniquet-related iatrogenic femoral nerve palsy after knee surgery: case report and review of the literature. Case Rep Orthop 2013; 2013:368290. 
  3. Kornbluth ID, Freedman MK, Sher L, Frederick RW. Femoral, saphenous nerve palsy after tourniquet use: a case report. Arch Phys Med Rehabil 2003; 84:909-911.
  4. Schinsky MF, Macaulay W, Parks ML, Kiernan H, Nercessian OA. Nerve injury after primary total knee arthroplasty. J Arthroplasty 2001; 16:1048-1054.
  5. Shetty T, Nguyen JT, Sasaki M, et al. Risk factors for acute nerve injury after total knee arthroplasty. Muscle Nerve 2018; 57:946-950.
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