Division of Acute Interventional Perioperative Pain and Regional Anesthesia, Department of Anesthesiology, University of Pittsburgh Medical Center, UPMC Presbyterian-Shadyside Hospitals, Pittsburgh, PA 15213, USA.
J Clin Anesth. 2010 Jun;22(4):285-93. doi: 10.1016/j.jclinane.2009.10.006.
Although postoperative nerve injury is infrequent in patients undergoing joint replacement, it is extremely distressing for the patient, surgeon, and anesthesiologist. The nature of nerve injury is often closely related to the type of surgery; this review details the potential surgical causes of nerve injuries following total hip arthroplasty. The current orthopedic literature (1943-2008) was reviewed to help anesthesiologists better understand the pathophysiology of surgery-related postoperative nerve injuries, including the relationship with hip joint anatomy and the surgical techniques.
尽管关节置换术后神经损伤较为少见,但它会给患者、外科医生和麻醉师带来极大的痛苦。神经损伤的性质通常与手术类型密切相关;本文详细介绍了全髋关节置换术后神经损伤的潜在手术原因。回顾了当前的骨科文献(1943-2008 年),以帮助麻醉师更好地理解与手术相关的术后神经损伤的病理生理学,包括与髋关节解剖和手术技术的关系。