Document Detail

Nerve injuries in total hip arthroplasty.
MedLine Citation:
PMID:  10217818     Owner:  NLM     Status:  MEDLINE    
Nerve injury occurs in 1% to 2% of patients who undergo total hip arthroplasty and is more frequent in patients who need acetabular reconstruction for dysplasia and those undergoing revision arthroplasty. Injury to the peroneal division of the sciatic nerve is most common, but the superior gluteal, obturator, and femoral nerves can also be injured. Nerve injury can be classified as neurapraxia, axonotmesis, or neurotmesis. The worst prognosis is seen in patients with complete motor and sensory deficits and in patients with causalgic pain. Prevention is of overriding importance, but use of ankle-foot orthoses and prompt management of pain syndromes can be useful in the treatment of patients with nerve injury. Electrodiagnostic studies hold promise in complex cases; however, their intraoperative role requires objective, prospective, controlled scientific study before routine use can be recommended.
M M DeHart; L H Riley
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  The Journal of the American Academy of Orthopaedic Surgeons     Volume:  7     ISSN:  1067-151X     ISO Abbreviation:  J Am Acad Orthop Surg     Publication Date:    1999 Mar-Apr
Date Detail:
Created Date:  1999-05-17     Completed Date:  1999-05-17     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  9417468     Medline TA:  J Am Acad Orthop Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  101-11     Citation Subset:  IM    
Huebner Medical Center, San Antonio, Tex., USA.
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MeSH Terms
Arthroplasty, Replacement, Hip / adverse effects*
Axons / pathology
Causalgia / etiology
Femoral Nerve / injuries
Hip / innervation*
Intraoperative Complications / prevention & control
Nerve Degeneration / etiology
Neural Conduction
Obturator Nerve / injuries
Orthotic Devices
Peroneal Nerve / injuries
Sciatic Nerve / injuries

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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