Background: High risk cases of leg amputation were one of major concerns in anesthesiologists.　 Cases: Sixteen cases with American Society of Anesthesiologists physical status (ASA-PS) 3 or 4 for leg amputation were reported.  Fifteen patients were medicated with more than two anticoagulants and 11 patients had bleeding tendency.  Thirteen patients received below knee amputation (BKA) and thre...

BACKGROUND Nerve palsy is a potentially devastating complication following total hip arthroplasty. The purpose of this study was to retrospectively identify risk factors for, and the prognosis associated with, a motor nerve palsy following primary total hip arthroplasty. METHODS Between 1970 and 2000, 27,004 primary total hip arthroplasties were performed at our institution. Forty-seven patie...

Femoral neuropathy is an uncommon complication following pelvic surgery. We report on 2 cases of femoral nerve injury after pelvic surgery: 1 patient received radical cystectomy due to invasive transitional cell carcinoma of the urinary bladder, and the other patient had a transurethral resection of the bladder and received exploration and biopsy of a tumor mass over the right sacroiliac joint ...

Background: Segmental zoster paresis (SZP) is a very uncommon complication characterized by localized weakening of the upper or lower limbs. Case report: A 69-year-old man came with complaints weakness in right leg two months ago. He had his after days having herpes on leg. There was paresthesia and hypesthesia neurological examination according to L1-L3 dermatome. Neurophysiology revealed neur...

Motor nerves and sensory nerves conduct signals in different directions and function in different ways. In the surgical treatment of peripheral nerve injuries, the best prognosis is obtained by keeping the motor and sensory nerves separated and repairing the nerves using the suture method. However, the clinical consequences of connections between sensory and motor nerves currently remain unknow...

Femoral neuropathy may be associated with various etiologies and can cause severe walking disability. We present the case of a 25-year-old woman who underwent surgical repair for a patella fracture and complained of lower extremity pain, paresthesia, and weakness postoperatively. Electromyography and magnetic resonance imaging (MRI) revealed partial peripheral neuropathy of the left femoral ner...

NERVE injury is a well-recognized complication of peripheral nerve blocks. Capdevila et al. reported an incidence of 0.21% in a large prospective multicenter study including more than 1,400 patients with perineural catheters. Beside factors related to the regional anesthesia technique, other causes such as concomitant patient disease, inadequate positioning or manipulation during surgery, and t...

The mortality of conservative treatment and the risk resulting from operation for elderly patients with femoral intertrochanteric fractures are high. Safety in the perioperative period and quicker recovery should be placed at the top priority for elderly patients with hip fractures. We reported a case of 109-year-old female patient with intertrochanteric fracture who has undergone the hemiarthr...

We present two cases of patients who reported quadriceps femoris weakness and hypoesthesia over the anterior thigh after an inguinal hernia repair under transversus abdominis plane (TAP) block. Transient femoral nerve palsy is the result of local anesthetic incorrectly injected between transversus abdominis muscle and transversalis fascia and pooling around the femoral nerve. Although it is a m...