{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T19:36:01Z","timestamp":1791833761724,"version":"4.3.4"},"reference-count":14,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2022,1,29]],"date-time":"2022-01-29T00:00:00Z","timestamp":1643414400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2022,1,29]],"date-time":"2022-01-29T00:00:00Z","timestamp":1643414400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"},{"start":{"date-parts":[[2022,1,29]],"date-time":"2022-01-29T00:00:00Z","timestamp":1643414400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>The main purpose of this study was to analyse the incidence of Common Peroneal Nerve Palsy (CPNP) after Total Knee Arthroplasty (TKA) for all alignments. Secondarily, the efficiency and safety of a Peroneal Nerve Release (PNR) prior to TKA in preoperative severe fixed valgus deformities were evaluated to prevent a CPNP.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Overall, 7612 TKAs were performed in the institution from 2009 to 2021. 1913 TKAs were performed by three surgeons, who consistently performed a PNR in case of a fixed valgus deformity of (1) more than 15\u00b0, or (2) more than 10\u00b0 but in combination with a flexion contracture of more than 15\u00b0. Patients with fixed valgus deformities of more than 10\u00b0 were identified (81\u00a0knees) and a comparison was made between the patients who received a PNR (26\u00a0knees) and those who did not receive a PNR (55\u00a0knees). Data for the analysis were collected from patient medical files and were compared with the Chi<jats:sup>2<\/jats:sup>\u2010test or Fisher Exact test.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A CPNP incidence of 0.2% (16\/7612) was found after TKA for all alignments together. No CPNP cases (0%) were developed in the PNR\u2010group, compared to five (9%) in the non\u2010PNR group (<jats:italic>p<\/jats:italic>\u2009=\u2009NS). A larger preoperative valgus angle (17\u00b0 vs 13\u00b0, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001) and flexion contracture (10\u00b0 vs 3\u00b0, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001) was present in the PNR group compared with the non\u2010PNR group. No PNR\u2010related complications were reported.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The CPNP incidence in this study is consistent with the previous literature. Furthermore, although not significant, the group that received a PNR procedure developed fewer CPNPs compared to the group without PNR.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of evidence<\/jats:title><jats:p>Retrospective cohort study, III.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00167-022-06891-x","type":"journal-article","created":{"date-parts":[[2022,1,29]],"date-time":"2022-01-29T09:02:32Z","timestamp":1643446952000},"page":"4010-4014","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["No common peroneal nerve palsies found after a peroneal nerve release prior to TKA in fixed valgus deformities (a retrospective cohort study)"],"prefix":"10.1002","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0953-0070","authenticated-orcid":false,"given":"Raymond","family":"Puijk","sequence":"first","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopaedic Surgery Spaarne Gasthuis Spaarnepoort 1 2134 TM Hoofddorp The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachid","family":"Rassir","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopaedic Surgery Spaarne Gasthuis Spaarnepoort 1 2134 TM Hoofddorp The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura M.","family":"Kok","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopaedic Surgery Spaarne Gasthuis Spaarnepoort 1 2134 TM Hoofddorp The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Inger N.","family":"Sierevelt","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopaedic Surgery Spaarne Gasthuis Spaarnepoort 1 2134 TM Hoofddorp The Netherlands"},{"name":"<!--<label>2<\/label>--> Specialized Center of Orthopedic Research and Education (SCORE) Xpert Orthopedie Amsterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diederik A.","family":"Vergroesen","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopaedic Surgery Spaarne Gasthuis Spaarnepoort 1 2134 TM Hoofddorp The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bernard G.","family":"Schutte","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopaedic Surgery Spaarne Gasthuis Spaarnepoort 1 2134 TM Hoofddorp The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter A.","family":"Nolte","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopaedic Surgery Spaarne Gasthuis Spaarnepoort 1 2134 TM Hoofddorp The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,1,29]]},"reference":[{"key":"e_1_2_11_2_2","doi-asserted-by":"crossref","first-page":"233","DOI":"10.1097\/00003086-199012000-00026","article-title":"Peroneal nerve palsy after total knee arthroplasty","volume":"261","author":"Asp J","year":"1990","journal-title":"Clin Orthop Relat Res"},{"key":"e_1_2_11_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.artd.2020.07.017"},{"key":"e_1_2_11_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2019.05.008"},{"key":"e_1_2_11_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0968\u20100160(98)00017\u20109"},{"key":"e_1_2_11_6_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623\u2010199602000\u201000003"},{"key":"e_1_2_11_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcm.2016.02.012"},{"key":"e_1_2_11_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2005.02.010"},{"key":"e_1_2_11_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2013.02.025"},{"key":"e_1_2_11_10_2","doi-asserted-by":"publisher","DOI":"10.5435\/JAAOS\u2010D\u201014\u201000420"},{"key":"e_1_2_11_11_2","first-page":"2","article-title":"Common peroneal nerve palsy after TKA in valgus deformities a systematic review.","volume":"2","author":"Puijk R","year":"2021","journal-title":"J Exp 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November 2021","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"10 January 2022","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"29 January 2022","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare that they have no conflict of interest.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"The study was approved by the Institutional Review Board (ACLU# 2021.0026).","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"No informed consent was needed for this study.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}}]}}