Risk Factors for the Development of Nerve Palsy Following Primary Total Hip Arthroplasty

The Open Orthopaedics Journal
Shunsuke KawanoMasaaki Mawatari

Abstract

Nerve palsy following total hip arthroplasty (THA) is a complication that worsens the functional prognosis. The present study analyzed the risk factors of nerve palsy following THA. The subjects of this study included 6,123 cases in which primary THA was performed under spinal anesthesia with cementless implants used in the posterolateral approach. Fourteen cases (0.22%) developed nerve palsy following THA, all of which involved palsy of the entire peroneal nerve region. The diagnoses included osteoarthritis due to subluxation (n=6), complete hip dislocation (n=3), osteonecrosis of the femoral head (n=2), primary osteoarthritis (n=1), osteoarthritis due to trauma (n=1), and multiple osteochondromatosis (n=1). Recovery from nerve palsy was confirmed in 10 cases; the longest recovery period was three years. A univariate analysis revealed significant differences in the osteoarthritis due to subluxation, osteonecrosis of the femoral head, complete hip dislocation, body weight and body mass index. However, none of the factors remained significant in multivariate analysis. Peroneal (ischiadic) nerve palsy following THA occurred in patients with osteonecrosis of the femoral head, complete hip dislocation, low body weight and a low bod...Continue Reading

References

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Citations

Sep 27, 2019·Der Orthopäde·M SchwarzeM Schiltenwolf
Jul 10, 2020·Zeitschrift für Orthopädie und Unfallchirurgie·Claude Léonie WeynandtAnastasia Rakow

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Methods Mentioned

BETA
Total Hip Arthroplasty
complete hip dislocation

Software Mentioned

SPSS
SPSS Statistics

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