Simmons C, Izant T H, Rothman R H, Booth R E, Balderston R A
Department of Orthopaedic Surgery, Thomas Jefferson University, Philadelphia, PA.
J Arthroplasty. 1991;6 Suppl:S57-66.
Femoral neuropathy is an uncommon yet debilitating complication of total hip arthroplasty (THA). Over a 1-year period, in 440 consecutive THAs performed at Pennsylvania Hospital, 10 (2.3%) femoral neuropathies occurred. Among primary arthroplasties, all neuropathies were associated with the Hardinge anterolateral approach. A retrospective case review as well as a detailed anatomic cadaveric study highlighted the characteristics of the femoral nerve that make it susceptible to injury. In addition, a review of the existing literature on this subject was performed. Placement and management of acetabular retractors were the factors most commonly associated with injury of the femoral nerve. All affected patients had significant initial disability. However, full femoral nerve. All affected patients had significant initial disability. However, full functional recovery occurred within 1 postoperative year. Clear understanding and awareness of the anatomy of the femoral triangle as well as accurate placement of anterior acetabular retractors can minimize the incidence of this complication.
股神经病变是全髋关节置换术（THA）一种罕见但使人衰弱的并发症。在宾夕法尼亚医院连续进行的440例全髋关节置换术中，1年期间发生了10例（2.3%）股神经病变。在初次置换术中，所有神经病变均与哈丁格前外侧入路有关。一项回顾性病例分析以及一项详细的尸体解剖研究突出了股神经易受损伤的特征。此外，还对该主题的现有文献进行了综述。髋臼牵开器的放置和管理是与股神经损伤最常相关的因素。所有受影响的患者最初都有明显的功能障碍。然而，术后1年内股神经功能完全恢复。清楚了解和认识股三角的解剖结构以及准确放置髋臼前牵开器可将这种并发症的发生率降至最低。
