Pekkarinen J, Alho A, Puusa A, Paavilainen T
Orton Orthopaedic Hospital, The Invalid Foundation, Helsinki, Finland.
J Arthroplasty. 1999 Apr;14(3):305-11. doi: 10.1016/s0883-5403(99)90056-6.
We analyzed 27 sciatic nerve injuries associated with total hip arthroplasty (THA). The patients were 23 women and 4 men, and their median age was 55 years (range, 28-75 years). In 1987 to 1995, 4,339 THAs were performed. Primary arthroplasties accounted for 3,471 and 868 were revisions. Nine patients had developmental dysplasia of the hip. Six operations were revisions. Radiologic lengthening was median 1.4 cm (range, -1 to 4.1 cm); in 8 cases, lengthening was greater than 2 cm. The median follow-up period was 58 months (range, 24-110 months). Eight patients recovered fully, the recovery of 7 patients was fair, and 12 patients had a considerable permanent disability. The risk of nerve injury was not related to the extent of lengthening. The recovery of the nerve injury was only weakly correlated to its primary postoperative extent. The sciatic nerve injury rate was 0.6%.
我们分析了27例与全髋关节置换术（THA）相关的坐骨神经损伤病例。患者中女性23例，男性4例，年龄中位数为55岁（范围28 - 75岁）。1987年至1995年期间共进行了4339例全髋关节置换术，其中初次置换术3471例，翻修术868例。9例患者患有髋关节发育不良，6例手术为翻修术。放射学测量的肢体延长中位数为1.4厘米（范围 - 1至4.1厘米）；8例患者的延长超过2厘米。随访期中位数为58个月（范围24 - 110个月）。8例患者完全恢复，7例患者恢复情况尚可，12例患者有相当程度的永久性残疾。神经损伤风险与延长程度无关。神经损伤的恢复情况仅与其术后初期的程度呈弱相关。坐骨神经损伤率为0.6%。
