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High Tibial Osteotomy – Complications: Neurologic Injuries

December 3, 2010
Peroneal Nerve

Peroneal Nerve

There are various complications that can arise from high tibial osteotomies (HTO).  Neurologic injuries such as damage to the peroneal nerve are one of those complications.  HTO’s are often performed to relieve the pain associated with knee osteoarthritis.

The peroneal nerve lies between the biceps femoris tendon and the outside top portion of the calf muscle, and winds around the top of the fibula bone.  The peroneal nerve branches out to various other nerves in the lower leg.  Nerves are like cables that provide pathways for the electrochecmical impulses that drive the central nervous system.

Damage to the peroneal nerve can result in drop foot, making the foot drag during walking.  Also feeling can be lost in the top of the foot and front of the lower leg.



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