A novel method for predicting superior gluteal nerve safe zones in the lateral approach to the hip.

Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists
Hristo PiponovMark H Gonzalez

Abstract

The superior gluteal nerve (SGN) is at risk for laceration during lateral approach total hip arthroplasty (THA). The purpose of this study is to assess the accuracy of the trochanter-to-iliac crest distance (TCD) and the nerve-to-trochanter distance (NTD) ratio in determining a reproducible safe zone around the SGN independent of height. Eighteen hemipelvises were dissected and the SGNs were exposed. The distance (NTD) from greater trochanter (GT) to the most inferior branch of the SGN encountered in each of the three approaches (Bauer et al., 1979) was measured. A reference distance (TCD) was measured from the GT to the highest point on the iliac crest. The NTD was divided by the TCD to generate standardized ratios. Coefficient of variation CV = (SD/mean) × 100 was calculated for each distance and ratio to measure relative variability. The standardized ratios (and CV) were determined for the nerve branches in three different surgical approaches: Hardinge 0.464 (0.9%), Bauer 0.406 (1.7%), and Frndak 0.338 (4.1%). There was a strong correlation of the individual NTDs with the TCD: NTD for Hardinge (r = 0.996, p < .001), NTD for Bauer (r = 0.984, p < .001), and NTD for Frndak (r = 0.932, p < .001). By measuring the TCD preoperati...Continue Reading

References

Oct 1, 1979·Archives of Orthopaedic and Trauma Surgery·R BauerW Oberthaler
Dec 1, 1990·The Journal of Arthroplasty·J J AbitbolM A Beaulieu
Jan 1, 1989·The Journal of Bone and Joint Surgery. British Volume·A S Baker, V C Bitounis
Jan 1, 1982·The Journal of Bone and Joint Surgery. British Volume·K Hardinge
Jan 1, 1994·Acta Anatomica·K AkitaT Sato
Nov 5, 1998·The Journal of Arthroplasty·B D MullikenN Nayak
Jul 3, 2003·Clinical Orthopaedics and Related Research·Fatih EksiogluIbrahim Tekdemir
Jul 22, 2004·Surgical and Radiologic Anatomy : SRA·M Miguel PérezV Götzens
Mar 24, 2015·Canadian Journal of Surgery. Journal Canadien De Chirurgie·Stephen PetisEdward M Vasarhelyi
Nov 9, 2018·Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists·Joe IwanagaR Shane Tubbs

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Citations

Sep 1, 2021·The Journal of the American Academy of Orthopaedic Surgeons·Nirav K PatelGregory J Golladay

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