Faculty Collaboration Database

Somatosensory evoked potential monitoring in the surgical treatment of acute, displaced acetabular fractures. Results of a prospective study. Clin Orthop Relat Res 1994 Apr(301):213-20

Date

04/01/1994

Pubmed ID

8156677

Scopus ID

2-s2.0-0028260153 (requires institutional sign-in at Scopus site)   42 Citations

Abstract

A prospective protocol was developed to prevent iatrogenic nerve injury during the surgical treatment of acute, displaced acetabular fractures in 103 patients. The protocol included an independent neurologic evaluation and perioperative somatosensory evoked potential (SEP) monitoring (tibial division only). The incidence of posttraumatic nerve injury was 29% (30/103 patients). The incidence of postoperative nerve injury was 5% (5/103 patients): complete sciatic, 0; tibial division, 0; peroneal division, 5. Somatosensory evoked potential monitoring of the tibial division is effective in preventing injury to this division. If perioperative SEP monitoring is used, independent stimulation of the tibial and peroneal divisions is recommended. High-risk groups for perioperative injury to the sciatic nerve include those patients with significant posterior column or wall displacement or posttraumatic sciatic nerve injury.

Author List

Helfet DL, Schmeling GJ

Author

Gregory J. Schmeling MD Vice Chair, Professor in the Orthopaedic Surgery department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Acetabulum
Adult
Evoked Potentials, Somatosensory
Female
Femoral Nerve
Fractures, Bone
Humans
Intraoperative Complications
Male
Peroneal Nerve
Postoperative Complications
Prospective Studies
Retrospective Studies
Sciatic Nerve