Natural history of lateral femoral cutaneous nerve neuropraxia after anterior approach total hip arthroplasty

Hip International : the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
Luca GalaPaul E Beaulé

Abstract

The aim of this study was to examine the natural history of lateral femoral cutaneous nerve (LFCN) neuropraxia in a previously reported cohort of individuals after direct anterior approach (DAA). 99 patients (107 hips) with LFCN neuropraxia were identified, out of which 82 patients (87 hips) (83.1%) completed functional outcomes questionnaires at mean follow-up of 5.5 years (4.4-6.9 years). 5 patients were excluded from the study due to intra-articular source of pain and/or revision surgery. The total sample was composed of 77 patients (31 total hip replacements and 51 hip resurfacings) and functional outcomes scores were obtained for all patients. At average 5.46-year follow-up, 55 patients (60 hips 73%) still reported symptoms of LFCN neuropraxia but their Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) scores were not inferior to those who had resolution for pain, function and stiffness: p values of 0.716, 0.171, and 0.238, respectively. The mean score on visual analogue scale decreased from 2.32 (SD 2.11) to 1.76 (SD 1.99). 1 patient (1.2%) reported his activities were limited by his symptoms. Although the majority of patients still report symptoms related to LFCN neuropraxia, symptoms do improve over...Continue Reading

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Citations

Sep 25, 2020·Journal of Clinical Medicine·Peter Michael ProdingerBoris Michael Holzapfel
May 8, 2021·Orthopaedics & Traumatology, Surgery & Research : OTSR·Falko DahmJochen G Hofstaetter
Sep 1, 2021·The Journal of the American Academy of Orthopaedic Surgeons·Nirav K PatelGregory J Golladay

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Methods Mentioned

BETA
total hip arthroplasty
dissection

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