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Neurological Complications Related to Elective Orthopedic Surgery: Part 3: Common Foot and Ankle Procedures
  1. Andrea Veljkovic, BComm, MD, FRCSC*,
  2. Tim Dwyer, MBBS, FRACS, FRCSC†,
  3. Johnny T. Lau, MD, MSc, FRCSC*,
  4. Kaniza Zahra Abbas, BSc*,
  5. Peter Salat, MD, FRCPC‡ and
  6. Richard Brull, MD, FRCPC§
  1. From the *Division of Orthopedics, Department of Surgery, University Health Network-Toronto Western Division, University of Toronto; †Division of Orthopedics, Women’s College and Mount Sinai Hospital, University of Toronto; ‡Joint Department of Medical Imaging, University Health Network, University of Toronto; and §Departments of Anesthesia, University Health Network-Toronto Western Division and Women’s College Hospital, University of Toronto, Toronto, Ontario, Canada
  1. Address correspondence to: Richard Brull, MD, FRCPC, Department of Anesthesia and Pain Management, Toronto Western Hospital, 399 Bathurst St, Toronto, Ontario, Canada M5T 2S8 (e-mail: richard.brull{at}uhn.ca).

Abstract

Part III of a review series on neurological complications of orthopedic surgery, this article describes the mechanisms and likelihood of peripheral nerve injury associated with some of the most common elective foot and ankle procedures for which anesthesiologists may administer regional anesthesia. Relevant information is broadly organized according to type of surgical procedure to facilitate reference by anesthesiologists and members of the anesthesia care team.

What’s New As the popularity of regional anesthesia continues to increase with the development of ultrasound guidance, anesthesiologists should have a thoughtful understanding of the nerves at risk of surgical injury during elective foot and ankle procedures.

https://doi.org/10.1097/AAP.0000000000000199

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    Footnotes

    • The authors declare no conflict of interest.

      Supported by departmental funding.