IC 302-2023: My Worst Day in the Operating Room - Navigating Challenges and Complications Associated with Arthroscopic Knee Surgery, and How it has Changed my Practice.-IC 302 - My Worst Day in the Operating Room - Navigating Challenges and Complications Associated with Arthroscopic Knee Surgery, and How it has Changed my Practice. (2/4)

IC 302 - My Worst Day in the Operating Room - Navigating Challenges and Complications Associated with Arthroscopic Knee Surgery, and How it has Changed my Practice. (2/4)

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Video Transcription

Video Summary

In this video, a panel of experts discusses two cases involving perineal nerve injuries. The first case involves a 21-year-old who had a knee dislocation and a lateral-sided blowout injury. The panel discusses their approach to surgical repair and managing the nerve. They emphasize the importance of releasing the deep fascia and ensuring the nerve is completely released and not trapped in the area of injury. The second case involves an 11-year-old with a discoid lateral meniscus who underwent an inside-out repair. The patient developed foot drop postoperatively, and the panel discusses the possible reasons for the nerve injury and the importance of proper retraction during surgery. The patient eventually had a good recovery, with some improvement observed at six weeks and full recovery at three months. The panel emphasizes the need for constant vigilance in preventing and managing perineal nerve injuries, including careful positioning of retractors, releasing the perineus longus fascia, and monitoring postoperative braces for tightness. The panel also highlights the potential for nerve recovery even in severe cases. No credits were provided in the video transcript.

Asset Caption

Aaron Krych, MD

Keywords

perineal nerve injuries

surgical repair

nerve management

deep fascia release

foot drop

nerve injury prevention

nerve recovery