title: The dangers of hemilithotomy positioning on traction tables: case report of a well-leg drop foot after contralateral femoral nailing.
abstract: BACKGROUND
  Postoperative contralateral morbidities after fracture fixation surgery by hemilithotomy positioning on traction table is uncommon. We'd report a case of unexpected common peroneal nerve palsy developed on the contralateral side manifesting with drop foot after a common orthopedic femoral nailing.
  
  
  METHODS
  A 28-year-old female sustained an unusual common peroneal nerve palsy manifesting contralateral drop foot after prolonged femoral nailing. Although the initial presentations were similar to the notorious well-leg compartment syndrome, a benign course with complete recovery in functions was observed 3 months later. After neurophysiologic exam and review of pertinent literature, this iatrogenic and transient dysfunction was delineated to be position-related neuropraxia.
  
  
  CONCLUSIONS
  Position adjustment at intervals or complete avoidance of prolonged knee hyperflexion is recommended to prevent contralateral common peroneal nerve morbidity.
authors.affiliation: Division of Orthopaedics, Department of Surgery, National Cheng Kung University Hospital, Dou-Liou Branch, National Cheng Kung University, Douliou, Taiwan ; Department of Orthopedics, National Cheng Kung University Hospital, No 138, Sheng-Li Road, Tainan City, 70428 Taiwan.
authors.forename: Kai-Lan
authors.initials: KL
authors.lastname: Hsu
authors.affiliation: Department of Orthopedics, National Cheng Kung University Hospital, No 138, Sheng-Li Road, Tainan City, 70428 Taiwan ; Division of Traumatology, National Cheng Kung University Medical Center, Tainan, Taiwan ; Department of Biomedical Engineering, National Cheng Kung University, Tainan, Taiwan.
authors.forename: Chih-Wei
authors.initials: CW
authors.lastname: Chang
authors.affiliation: Department of Orthopedics, National Cheng Kung University Hospital, No 138, Sheng-Li Road, Tainan City, 70428 Taiwan.
authors.forename: Chii-Jeng
authors.initials: CJ
authors.lastname: Lin
authors.affiliation: Department of Biomedical Engineering, National Cheng Kung University, Tainan, Taiwan.
authors.forename: Chih-Han
authors.initials: CH
authors.lastname: Chang
authors.affiliation: Department of Orthopedics, National Cheng Kung University Hospital, No 138, Sheng-Li Road, Tainan City, 70428 Taiwan.
authors.forename: Wei-Ren
authors.initials: WR
authors.lastname: Su
authors.affiliation: Department of Physical Medicine & Rehabilitation, National Cheng Kung University Medical Center, Tainan, Taiwan.
authors.forename: Shu-Min
authors.initials: SM
authors.lastname: Chen
keywords: Contralateral leg; Drop foot; Hemilithotomy position; Morbidity; Peroneal palsy