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Aug 2026 DOI 10.14302/issn.2641-5518.jcci-26-6134
Khafaga DPM MBBCh MS AshrafCorresponding author
Background Sural neuritis is a recognized and common complication resulting from iatrogenic injury, postsurgical or posttraumatic fibrosis, traction injury, or chronic nerve compression. Previously in a case series by Stockton and Brodsky, sural neuritis was reported as a complication in 16.6% of the patients who underwent peroneal tendon repair. Patients with sural neuritis often report pain and tingling in the distribution of the sural nerve along the lateral posterior leg, lateral foot, and the fifth digit. Symptoms of sural neuritis could be intense and debilitating, necessitating prompt recognition and treatment. Method Patients who underwent peroneal tendon repair between January 2022 to January 2024 by a single surgeon were included in this retrospective case series. Medical charts of the patients included in the study were reviewed. Demographics for all patients included in the study were recorded. Time to onset of sural neuritis, time to resolution, and management of the condition were recorded for patients who developed sural neuritis. Results A total of 39 patients were retrospectively reviewed, of which three patients (7.69%) developed symptoms attributed to sural neuritis post-peroneal tendon repair. Diagnosis of sural neuritis in the three patients ranged from 130 to 191 days post-peroneal tendon repair. Time to resolution of neuritis symptoms in the three patients who developed sural neuritis were 113 to 574 days after the onset. Successful management of sural neuritis were observation, serial injection of a mixture of 1 ml 1% lidocaine, 1 ml 0.5% bupivacaine, and 1 ml dexamethasone (4 mg/mL), and sural neurectomy. Conclusion While conservative treatments may be effective to manage sural neuritis, surgical options may be necessary for patients who fail to respond adequately. Patients suffering from sural neuritis often experience intense and debilitating symptoms that significantly impact their quality of life, highlighting the critical importance of early identification and appropriate management to mitigate long-term disability and ensure optimal outcomes.
Dec 2025 DOI 10.14302/issn.2691-5014.jphn-25-5577
Gormley MarkCorresponding author
Infants with single ventricle (SV) physiology are at increased risk of undernutrition, which can contribute to adverse outcomes. This is a retrospective case series examining factors associated with undernutrition in patients with SV physiology at one year of age. It includes 56 infants from a single institution who underwent SV palliation between 2003 and 2023. Undernutrition was defined as a weight-for-length z-score (WLZ) below -1, based on World Health Organization (WHO) normative data. Independent variables included surgical interventions, cardiorespiratory factors, and nutritional interventions. Associations between these variables and nutritional status were assessed using Fisher’s exact test. At one year, a total of nine infants (16%) were undernourished. Undernutrition rates significantly declined after 2013 (p=0.02), demonstrating improvements in nutritional outcomes over our study period. Those who used supplemental oxygen or pulmonary medications were undernourished at lower rates. While this difference was not statistically significant, the number of undernourished patients in the cohort may have limited the study’s power. Our findings suggest that early respiratory interventions may provide nutritional benefits in infants with SV physiology.
Jul 2017 DOI 10.14302/issn.2474-7785.jarh-16-1067
Nanavati NikhilCorresponding author
Specialist Registrar Orthopedics, Sheffield Teaching Hospitals, Sheffield, UK
Aim Venous thromboembolism (VTE) is a leading cause of morbidity and mortality in hospital with orthopaedic surgery already an established risk factor. This study aims to establish the length of time that a patient is at risk of sustaining a VTE post orthopaedic surgery. Method A retrospective case series of all patients who underwent orthopaedic surgery between 2010 and 2014 whom re-presented with a VTE within one year of their initial operation. Demographic, operative and clinical information was obtained in order to identify potential risk factors. Results 53 patients were identified as having a VTE within one year of discharge. The majority (63.4%) underwent lower limb arthroplasty. 29% of the cohort had either a family or personal history of VTE, 79% had ischaemic heart disease (IHD), hypertension or both. The average body mass index (BMI) of the cohort was 31.4; above the UK national average. 56.6% of the cohort developed a pulmonary embolism (PE) and 49% developed a deep vein thrombosis (DVT). Co-occurring DVT and PE was diagnosed in 5.6% of patients. The average length of time for readmission for patients to re-present at hospital with a PE was 122 days (range 4-361) and 107 days (range 7 – 360) with a DVT. Conclusion This study confirms the existence of pre-established risk factors for developing VTE including obesity, personal and family history of DVT, cardiovascular disease and lower limb arthroplasty. These risk factors are recognised despite patients receiving post-operative thromboprophylaxis. The findings of this study extend the current research by suggesting that patients presenting with known risk factors of developing VTE may be at risk for longer than the current guidelines cover for the administration of thromboprophylaxis. We propose further studies are needed to identify any potential requirements for more extensive VTE prophylaxis in this population.