病人以截石術臥位接受手術有可能會導致腓總神經受傷(例如:保護不週或時間過久)。我們報告一位在術中造成腓總神經麻痺之病例,儘管手術中有良好的保護及短時間之手術。於術中外科助手將身體倚靠在病人的膝蓋上,可能是造成腓總神經麻痺之現象。物理治療即刻開始,三個月後病人的神經功能完全恢復正常。
Common peroneal nerve injury may occur during surgery, particularly when patients are placed in lithotomy position. We report a case of common peroneal nerve palsy following a surgical procedure. Incorrect posture of a surgical assistant which made him lean his body against the patient’s knee support might possibly be the cause of this injury. The patient reported that she had a left drop foot and a numbness of her left lower extrimitly following surgery. Electromyographic and nerve conduction studies revealed a left common peroneal nerve palsy. Physical therapy was started immediately. Patient’s neurologic function of the leg totally recovered 3 months later.
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