From: Common peroneal nerve palsy after TKA in valgus deformities; a systematic review
Study and year | Country | Study design | Patients (knees) | Gender, female (%) | Age in yearsa (mean ± SD) | Patients with OA (%) | Preop. aFTAa (mean ± SD) | Postop. aFTAa (mean ± SD) | preop. FCa (mean ± SD) | CPNP, cases (%) | Soft tissue release in sequence of structures (% of knees) | Follow-up years (mean ± SDa) | MINOR score | |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
No peroneal nerve release – with soft tissue release | ||||||||||||||
 Greenberg et al. 2020 | USA | Retr | 95 (104) | – | 73 ± 8 | n/a | 16.2 ± 5.6 | 5.4 ± 2.8 | 3.0 ± 6.5 | 3 (2.9%) | 1) ITB subperiosteal (100%) 2) PLC transverse (n/a) 3) POP transverse (n/a) | 1.8 ± 1.3 | 17/24 | |
 Li et al. 2020 | China | Pros | 30 (35) | 28 (93) | 64.8 ± 8 | 30 (100%) | 20.39 ± 7.79 | 7.0 ± 2.3 | 6.4 ± 9.0 | 1 (2.9%) | 1) ITB pie-crusting (100%) 2) LCL transverse (100%) 3) POP transverse (n/a) 4) PLC (n/a) | 3.9 ± 2.4 | 10/16 | |
 Ren et al. 2020 | China | Retr | 58 (61) | 47 (81) | 65 ± 8 | 49 (84%) | 30.6 ± 6.3 | 7.3 ± 2.2 | 0 ± 0 | 4 (6.6%) | 1) ITB (100%) 2) LCL transverse (100%) 3) POP transverse (3.2%) | 10.5 ± 2.4 | 10/16 | |
 Cheng et al. 2020 | China | Retr | 56 (56) | 31 (55) | 62 ± 3.7 | 22 (39%) | 21.4 ± 5.4 | 2.6 ± n/a | n/a | 0 (0%) | 1) ITB subperiosteal (100%) 2) LCL pie-crusting (8.9%) 3) PCL pie-crusting (8.9%) | 1 ± 0 | 10/16 | |
 Matar et al. 2019 | UK | Retr | 104 (110) | 87 (84) | 68.7 ± 9.2 | 85 (82%) | 18.6 ± 7.5 | 3.8 ± 2.0 | n/a | 0 (0%) | 1) ITB subperiosteal (100%) 2) POP (28.3%) | 5.5 ± 2.4 | 11/16 | |
 Guo et al. 2018 | China | Retr | 31 (31) | 29 (94) | 66.5 ± n/a | 31 (100%) | 21.7 ± 4.6 | 7.7 ± 1.7 | n/a | 0 (0%) | Release of the ITB (100%), PLC (100%), LCL (100%) | 0.8 ± 0.1 | 16/24 | |
 Jaju et al. 2018 | India | Pros | 32 (32) | 22 (69) | 62.7 ± 6.9 | 9 (28%) | 18.59 ± 8.32 | 3.7 ± 0.9 | 8.25 ± 4.38 | 0 (0%) | 1) PLC transverse (100%) 2) ITB pie-crusting (47%) | 1.9 ± 0.7 | 11/16 | |
 Boettner et al. 2016 | USA | Retr | 164 (181) | 130 (79) | 67 ± 9.3 | 164 (100%) | 14.2 ± 4.9 | 5.2 ± 2.8 | 4.8 ± 7.3 | 1 (0.6%) | 1) ITB transverse (100%), PLC transverse (100%) and LCL transverse (100%) | 2.0 ± 1.0 | 12/16 | |
 Zhou et al. 2014 | China | Retr | 32 (37) | 20 (63) | 57.2 ± 6.1 | 22 (69%) | 32.72 ± 9.68 | 4.89 ± 0.9 | −0.78 ± 2.49 | 3 (8.1%) | 1) PLC pie-crusting (100%) 2) LCL pie-crusting (100%) 3) POP transverse (24%) | 10 ± 0.7 | 11/16 | |
 Satish et al. 2013 | India | Pros | 27 (32) | 17 (63) | 54 ± 5.4 | 10 (37%) | 25.4 ± 12 | 4 ± 2.5 | n/a | 2 (6.3%) | 1) ITB subperiosteal (100%) 2) PLC transverse (59.3%) 3) POP (21.8%) + LCL (21.8%) | 5.0 ± 1.2 | 12/16 | |
 Chechik et al. 2012 | Israel | Retr | 42 (51) | 38 (91) | 72.7 ± 8.3 | 31 (74%) | 17.5 ± 4.6 | 6.3 ± 2.2 | [−1] ± 3 | 1 (2.0%) | 1) Transverse release of the PLC (100%) | 3.5 ± 1.9 | 10/16 | |
 koskinen et al. 2011 | Finland | Retr | 48 (52) | 46 (96) | 66 ± 11.1 | 37 (77%) | 23 ± 8.0 | 7 ± 5.6 | 9 ± 5.6 (in 25 knees) | 1 (1.9%) | 1) ITB pie-crusting (61.5%) 2) POP (40.4%) 3) LCL (18.6%) 4) PLC (5.8%) | 9.0 ± 3.6 | 11/16 | |
 Rajgopal et al. 2011 | India | Retr | 53 (78) | 34 (64) | 74 ± 10 | 16 (30%) | 20.0 ± 7.2 | 5.0 ± 0.8 | N/A | 2 (2.6%) | 1) ITB pie-crusting (100%) 2) POP pie-crusting (2.6%) | 10.0 ± 1.2 | 9/16 | |
 Apostolo-poulos et al. 2010 | Greece | Pros | 24 (24) | 7 (29) | 72 ± 5.6 | 17 (71%) | 23 ± 4.9 | 5.5 ± 1.3 | 11 ± 4.3 (in 9 knees) | 0 (0.0%) | 1) ITB subperiosteal (100%) 2) LCL and POP subperiosteal (100%) 3) PLC (37.5%) | 11.5 ± 1.8 | 11/16 | |
 Boyer P et al. 2008 | France | Retr | 63 (63) | 56 (89) | 56.9 ± 11.9 | 43 (68%) | 14.7 ± 3.7 | 1.0 ± 0.4 | n/a | 1 (1.6%) | 1) ITB subperiosteal (100%) 2) LCL and POP subperiosteal (7.9%) 3) PLC (6.3%) | 7.0 ± 1.5 | 10/16 | |
 Elkus et al. 2004 | USA | Pros | 35 (42) | 27 (77) | 67 ± 12.7 | 28 (80%) | 15.0 ± 5.1 | 5.0 ± 2.3 | 7.0 ± n/a | 0 (0.0%) | 1) PLC + LCL and POP transverse (100%) 2) ITB pie-crusting (100%) | 9.0 ± 2.1 | 13/16 | |
 Stern et al. 1991 | USA | Retr | 98 (134) | 83 (85) | 68 ± 8.8 | 88 (90%) | 19.0 ± 8.4 | 7.0 ± 3.4 | n/a | 5 (3.7%) | 1) PLC with LCL and POP transverse (100%) 2) ITB (n/a) | 4.5 ± 1.5 | 11/16 | |
Peroneal nerve release – with soft tissue release | ||||||||||||||
 Xu J et al. 2020 | China | Pros | 30 (34) | 21 (70) | 70.2 ± 9.3 | 10 (33%) | 31.3 ± 8.0 | 4.9 ± 2.0 | n/a | 0 (0%) | 1) ITB pie-crusting (100%) 2) PLC pie-crusting (100%) 3) LCL and POP (n/a) | 2.25 ± 0.4 | 12/16 | |
 Cree et al. 1999 | Australia | Retr | 7 (7) | – | 72 ± n/a | 6 (86%) | 24.0 ± 7.4 | 6.0 ± 2.2 | n/a | 1 (14.2%) | Not noted | 0.6 ± 0.4 | 9/16 | |
 Study | Country | Study design | Patients (knees) | Gender, female (%) | Age in yearsa (mean ± SD) | Patients with OA (%) | Preop. aFTAa (mean ± SD) | Postop. aFTAa (mean ± SD) | preop FCa (mean ± SD) | CPNP cases (%) | Soft tissue release in sequence of structures (%) | Osteo-tomy (% of knees) | Follow-up years (mean ± SDa) | MINOR score |
No peroneal nerve release – with osteotomies and soft tissue release | ||||||||||||||
 Raut et al. 2020 | UK | Retr | 23 (25) | 15 (65) | 68 ± 11.4 | 14 (61%) | 20 ± 4.3 | 4 ± 1.3 | n/a | 0 (0%) | 1) ITB subperiosteal (100%) 2) POP (100%) | LFEO (100%) | 5 ± 3.8 | 10/16 |
 Mou et al. 2019 | China | RCT | 25 (27) | – | 63 ± 11 | n/a | 31.6 ± 8 | 7.0 ± 2.4 | n/a | 0 (0%) | 1) ITB pie-crusting (100%) 2) PLC (n/a) | MFEO (100%) | 4.6 ± 0.9 | – |
 Cheng et al. 2019 | China | Pros | 15 (16) | 14 (93) | 67.4 ± 6.2 | n/a | n/a | n/a | n/a | 0 (0%) | 1) ITB pie-crusting (100%) 2) PLC transverse (100%) | MFEO (100%) | 2.2 ± 0.7 | 12/16 |
 Scior et al. 2018 | Germany | Pros | 98 (98) | 71 (72) | 71.6 ± 10.5 | n/a | 14.9 ± 2.7 | 6.4 ± 0.6 | 4 ± 3 | 0 (0%) | 1) ITB subperiosteal (100%) 2) PLC transverse (100%) | LFEO (100%) | 4.5 ± 1 | 9/16 |
 Conjeski et al. 2018 | USA | Retr | 10 (12) | 7 (70) | 68 ± 13.3 | 9 (90%) | 16.4 ± 4.2 | 5.5 ± 0.9 | n/a | 1 (8.3%) | No initial soft tissue release | LFEO (100%) | 2.9 ± 2.7 | 10/16 |
 Strauch et al. 2013 | Germany | Pros | 27 (27) | – | 69.5 ± 13.2 | n/a | 17.7 ± 5.0 | 7.2 ± 3.8 | n/a | 0 (0%) | ITB transverse (100%) | LFEO (100%) | 1 ± n/a | 9/16 |
 Hadjicostas et al. 2008 | Germany | Pros | 15 (15) | – | 73 ± 4.6 | 13 (87%) | n/a | n/a | n/a | 0 (0%) | Partial release of the PLC (n/a) | LFEO (100%) | 2.3 ± 0.9 | 12/16 |
 Brilhault et al. 2002 | France | Pros | 13 (13) | 12 (92) | 73 ± 3.6 | 12 (92%) | n/a | n/a | n/a | 0 (0%) | ITB subperiosteal (100%) | LFEO (100%) | 4.7 ± 1.7 | 11/16 |