TY  - JOUR
PY  - 2018//
TI  - Risk factors for acute nerve injury after total knee arthroplasty
JO  - Muscle and nerve
A1  - Shetty, Teena
A1  - Nguyen, Joseph T.
A1  - Sasaki, Mayu
A1  - Wu, Anita
A1  - Bogner, Eric
A1  - Burge, Alissa
A1  - Cogsil, Taylor
A1  - Dalal, Aashka
A1  - Halvorsen, Kristin
A1  - Cummings, Kelianne
A1  - Su, Edwin P.
A1  - Lyman, Stephen
SP  - 946
EP  - 950
VL  - 57
IS  - 6
N2  - INTRODUCTION: This study identifies potential risk factors for post-total knee arthroplasty (TKA) nerve injury, a catastrophic complication with a reported incidence of 0.3% to 1.3%. <br><br>METHODS: Patients who developed post-TKA nerve injury from 1998 to 2013 were identified, and each was matched with 2 controls. A multivariable logistic regression model was built to calculate odds ratios (OR). <br><br>RESULTS: 65 nerve injury cases were identified in 39,990 TKAs (0.16%). Females (OR 3.28, p=0.003) and patients with history of lumbar pathology (OR 6.12, p=0.026) were associated with increased risk of nerve injury. Tourniquet pressure <300 mmHg and longer duration of anesthesia may also be risk factors. <br><br>DISCUSSION: Surgical planning for females and patients with lumbar pathology should be modified to mitigate their higher risk of neurologic complications after TKA. Our finding that lower tourniquet pressure was associated with higher risk of nerve injury was unexpected and requires further investigation. This article is protected by copyright. All rights reserved.<br><br>© 2017 Wiley Periodicals, Inc.<p />  <p>Language: en</p>
LA  - en
SN  - 0148-639X
UR  - http://dx.doi.org/10.1002/mus.26045
ID  - ref1
ER  -