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Femoral neuropathy following direct anterior total hip arthroplasty: an anatomic review and case series(†)
The popularity of the direct anterior approach for total hip arthroplasty (THA) has dramatically increased in recent years. Many patients request this muscle sparing approach for the theorized benefits of quicker recovery and reduced post-operative pain. Femoral nerve injury is a rare, yet serious c...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6126180/ https://www.ncbi.nlm.nih.gov/pubmed/30206472 http://dx.doi.org/10.1093/jscr/rjy171 |
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author | Patton, Ryan S Runner, Robert P Lazarus, David Bradbury, Thomas L |
author_facet | Patton, Ryan S Runner, Robert P Lazarus, David Bradbury, Thomas L |
author_sort | Patton, Ryan S |
collection | PubMed |
description | The popularity of the direct anterior approach for total hip arthroplasty (THA) has dramatically increased in recent years. Many patients request this muscle sparing approach for the theorized benefits of quicker recovery and reduced post-operative pain. Femoral nerve injury is a rare, yet serious complication following the anterior approach for THA. During the 7-year period from 2008 to 2016, 1756 patients underwent primary THA with a direct anterior approach by a single senior surgeon for end-stage osteoarthritis. Six (0.34%) of these patients had a post-operative femoral nerve palsy. We aim to discuss anatomic considerations, risk factors, and a timeline of severity and recovery for femoral nerve palsy following direct anterior THA in six patients. |
format | Online Article Text |
id | pubmed-6126180 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-61261802018-09-11 Femoral neuropathy following direct anterior total hip arthroplasty: an anatomic review and case series(†) Patton, Ryan S Runner, Robert P Lazarus, David Bradbury, Thomas L J Surg Case Rep Case Report The popularity of the direct anterior approach for total hip arthroplasty (THA) has dramatically increased in recent years. Many patients request this muscle sparing approach for the theorized benefits of quicker recovery and reduced post-operative pain. Femoral nerve injury is a rare, yet serious complication following the anterior approach for THA. During the 7-year period from 2008 to 2016, 1756 patients underwent primary THA with a direct anterior approach by a single senior surgeon for end-stage osteoarthritis. Six (0.34%) of these patients had a post-operative femoral nerve palsy. We aim to discuss anatomic considerations, risk factors, and a timeline of severity and recovery for femoral nerve palsy following direct anterior THA in six patients. Oxford University Press 2018-09-06 /pmc/articles/PMC6126180/ /pubmed/30206472 http://dx.doi.org/10.1093/jscr/rjy171 Text en Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author(s) 2018. http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com |
spellingShingle | Case Report Patton, Ryan S Runner, Robert P Lazarus, David Bradbury, Thomas L Femoral neuropathy following direct anterior total hip arthroplasty: an anatomic review and case series(†) |
title | Femoral neuropathy following direct anterior total hip arthroplasty: an anatomic review and case series(†) |
title_full | Femoral neuropathy following direct anterior total hip arthroplasty: an anatomic review and case series(†) |
title_fullStr | Femoral neuropathy following direct anterior total hip arthroplasty: an anatomic review and case series(†) |
title_full_unstemmed | Femoral neuropathy following direct anterior total hip arthroplasty: an anatomic review and case series(†) |
title_short | Femoral neuropathy following direct anterior total hip arthroplasty: an anatomic review and case series(†) |
title_sort | femoral neuropathy following direct anterior total hip arthroplasty: an anatomic review and case series(†) |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6126180/ https://www.ncbi.nlm.nih.gov/pubmed/30206472 http://dx.doi.org/10.1093/jscr/rjy171 |
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