caa a22 4500 605458340 CHVBK 20210128100228.0 cr unu---uuuuu 210128e20151001xx s 000 0 eng 10.1007/s00167-015-3676-7 doi (NATIONALLICENCE)springer-10.1007/s00167-015-3676-7 A systematic review of peroneal nerve palsy and recovery following traumatic knee dislocation [Elektronische Daten] [Jarret Woodmass, Nicholas Romatowski, John Esposito, Nicholas Mohtadi, Peter Longino] Purpose: A common peroneal nerve (CPN) palsy has been reported to complicate knee dislocations in 5-40% of patients. Patients who suffer from a persistent foot drop have significantly worse functional outcomes. Reports on prognostic factors for nerve recovery or treatment-specific functional outcomes remain sparse in the literature. Methods: Two independent reviewers completed a search of Medline, Embase, PubMed and the Cochrane Library from 1946 to present. Motor strength was determined using the Medical Research Council (MRC) grading system or an equivalent description. A functional recovery was defined as an MRC ≥3/5. Results: The combined search of Medline, Embase, PubMed and the Cochrane Library identified 1528 abstracts. Thirteen articles met our inclusion/exclusion criteria. This included 214 CPN palsies. Functional recovery (MRC ≥3/5) following complete CPN palsy was 38.4%. Full recovery (MRC=5/5) following partial CPN palsy was 87.3%. Younger age was predictive of neurologic recovery. Recovery following isolated neurologic interventions ranged from 0 to 30%. Conclusions: A vastly different prognosis can be expected for patients who suffer an incomplete versus a complete CPN palsy. The majority of patients with an incomplete palsy will achieve a full motor recovery while <40% of patients with a complete motor palsy will regain the ability to dorsiflex at the ankle. While neurologic interventions show promise for the future, the outcomes in knee dislocation patients remain poor. The most predictable means of reestablishing antigravity dorsiflexion in a persistent CPN palsy is a posterior tibial tendon transfer. European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA), 2015 Peroneal nerve nationallicence Knee nationallicence Dislocation nationallicence Multi-ligamentous nationallicence Neuropathy nationallicence Woodmass Jarret Section of Orthopaedic Surgery, University of Calgary, 3330 Hospital Drive NW, T2N 4N1, Calgary, AB, Canada aut Romatowski Nicholas Section of Orthopaedic Surgery, University of Calgary, 3330 Hospital Drive NW, T2N 4N1, Calgary, AB, Canada aut Esposito John Section of Orthopaedic Surgery, University of Calgary, 3330 Hospital Drive NW, T2N 4N1, Calgary, AB, Canada aut Mohtadi Nicholas Section of Orthopaedic Surgery, University of Calgary, 3330 Hospital Drive NW, T2N 4N1, Calgary, AB, Canada aut Longino Peter Section of Orthopaedic Surgery, University of Calgary, 3330 Hospital Drive NW, T2N 4N1, Calgary, AB, Canada aut Knee Surgery, Sports Traumatology, Arthroscopy Springer Berlin Heidelberg 23/10(2015-10-01), 2992-3002 0942-2056 23:10<2992 2015 23 167 https://doi.org/10.1007/s00167-015-3676-7 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 review-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00167-015-3676-7 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Woodmass Jarret Section of Orthopaedic Surgery, University of Calgary, 3330 Hospital Drive NW, T2N 4N1, Calgary, AB, Canada aut NATIONALLICENCE 700 1- Romatowski Nicholas Section of Orthopaedic Surgery, University of Calgary, 3330 Hospital Drive NW, T2N 4N1, Calgary, AB, Canada aut NATIONALLICENCE 700 1- Esposito John Section of Orthopaedic Surgery, University of Calgary, 3330 Hospital Drive NW, T2N 4N1, Calgary, AB, Canada aut NATIONALLICENCE 700 1- Mohtadi Nicholas Section of Orthopaedic Surgery, University of Calgary, 3330 Hospital Drive NW, T2N 4N1, Calgary, AB, Canada aut NATIONALLICENCE 700 1- Longino Peter Section of Orthopaedic Surgery, University of Calgary, 3330 Hospital Drive NW, T2N 4N1, Calgary, AB, Canada aut NATIONALLICENCE 773 0- Knee Surgery, Sports Traumatology, Arthroscopy Springer Berlin Heidelberg 23/10(2015-10-01), 2992-3002 0942-2056 23:10<2992 2015 23 167