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Korean J Anesthesiol > Volume 54(1); 2008 > Article
Korean Journal of Anesthesiology 2008;54(1):81-83.
DOI: https://doi.org/10.4097/kjae.2008.54.1.81   
Tourniquet-induced Tibial Nerve Palsy Complicating Partial Lateral Meniscectomy: A case report.
Kyung Seok Cheon, Yong Mi An, Cheon Hee Park, Jeong Lyul Kim
Department of Anesthesiology and Pain Medicine, Kwangju Christian Hospital, Gwangju, Korea. mimiya007@hotmail.com
Abstract
We report a case of tibial nerve palsy after pneumatic tourniquet application for 40 minutes with a tourniquet pressure of 300 mmHg. A 45 years old woman with morbid obesity and diabetes mellitus was underwent partial lateral meniscectomy of left knee. Even 3 months after the event, nerve palsy was not completely recovered. The case underscores the necessity of being aware of the potential for complications associated with tourniquets, despite following recommended guidelines of tourniquet time and pressure. Especially, in the patients with metabolic diseases such as diabetes mellites or obesity, safe duration of tourniquet application may be shortened.
Key Words: diabetes mellitus; obesity; tourniquet palsy
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