Possible neuropraxia due to improper/too long application of tourniquet

Leprosy Mailing List – January 28^th, 2010

Ref.: (LML) Possible neuropraxia due to improper/too long application of tourniquet

From: James P. Wilton, Portsmouth , NH , USA

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Dear Salvatore,

I refer to Angelica Piefer’s message (LML Jan. 23^rd, 2010).

It is my experience in over 25 years of extremity surgery that neurapraxia is most likely caused from insufficient padding underneath the tourniquet and/or improper placement of the tourniquet. When tourniquet times are limited to 90 minutes or less, I have not experienced neurapraxia as an adverse sequela from extremity surgery.

Sincerely yours,

Dr. James P. Wilton, FACFAS

Peripheral Nerve Surgeon

330 Borthwick Ave #112

Portsmouth , NH , 03801

USA