与全髋关节置换术相关的神经损伤。
Nerve injuries associated with total hip arthroplasty.
作者信息
Hasija Rohit, Kelly John J, Shah Neil V, Newman Jared M, Chan Jimmy J, Robinson Jonathan, Maheshwari Aditya V
机构信息
Department of Orthopaedic Surgery, Elmhurst Hospital, New York, United States.
St. George's University School of Medicine, West Indies, Grenada.
出版信息
J Clin Orthop Trauma. 2018 Jan-Mar;9(1):81-86. doi: 10.1016/j.jcot.2017.10.011. Epub 2017 Oct 28.
Abstract
Nerve injury is a relatively rare, yet potentially devastating complication of total hip arthroplasty (THA). Incidence of this ranges from 0.6 to 3.7%, and is highest in patients with developmental hip dysplasia and previous hip surgery. Apart from patient and surgeon dissatisfaction, this complication can have medico-legal consequences. Therefore, the purpose of this study was to review the risk factors, etiology, diagnostic options, management strategies, prognosis, and prevention measures of nerve injuries associated with THA. We specifically evaluated the: 1) sciatic nerve; 2) femoral nerve; 3) obturator nerve; 4) superior gluteal nerve; and 5) the lateral femoral cutaneous nerve.
摘要
神经损伤是全髋关节置换术（THA）相对罕见但可能具有毁灭性的并发症。其发生率在0.6%至3.7%之间，在发育性髋关节发育不良和既往有髋关节手术史的患者中最高。除了患者和外科医生不满意外，这种并发症还可能产生医疗法律后果。因此，本研究的目的是回顾与THA相关的神经损伤的危险因素、病因、诊断方法、管理策略、预后及预防措施。我们特别评估了：1）坐骨神经；2）股神经；3）闭孔神经；4）臀上神经；以及5）股外侧皮神经。
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