Pertinent Insights On Surgical Decompression For Common Peroneal Nerve Entrapment

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A Few Pearls For Successful Management Of Common Peroneal Nerve Decompression

1. Complete formal peripheral nerve surgery training
2. Use of 3-4x surgical loupes (preferably with headlight)
3. Avoidance of monopolar cautery
4. Immediate mobilization after surgery
5. Use of blunt dissection only once through the skin
6. Use of extreme care when entering and dissecting in the lateral compartment
7. Precise incision placement
8. Patient positioning with a flexed knee position
9. Understand that there is a “learning curve” and that working with an experienced surgical mentor during the initial cases can accelerate competence

Stephen L. Barrett, DPM, MBA, FACFAS, FAENS

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   Editor’s note: For further reading, see Dr. Barrett’s DPM Blogs, “Overcoming Podiatric Dogma On Neuromas And Peripheral Nerve Surgery” at, “Avoiding Crippling Cases Of Drop Foot With Early Diagnosis” at or “Peering Into The Crystal Ball: When Will The Podiatry Profession Shake Free Of Dogma When It Comes To Nerves?” at .

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