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Related Experiment Videos

Peripheral neuropathies following total hip arthroplasty

O A Nercessian1, W Macaulay, F E Stinchfield

  • 1Department of Orthopaedic Surgery, New York Orthopaedic Hospital, Columbia-Presbyterian Medical Center, New York 10032.

The Journal of Arthroplasty
|December 1, 1994
PubMed
Summary

Neurologic complications after total hip arthroplasty occur in 0.63% of patients, with lower extremity nerve injuries being more common. Female patients and revision surgeries show higher risks for these adverse events.

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Area of Science:

  • Orthopedic Surgery
  • Neurology
  • Medical Complications

Background:

  • Total hip arthroplasty (THA) is a common procedure to address hip joint issues.
  • Neurologic complications are a known, albeit infrequent, risk associated with THA.
  • Understanding the incidence and risk factors for these complications is crucial for patient safety.

Purpose of the Study:

  • To determine the incidence of neurologic complications following total hip arthroplasty.
  • To identify specific nerve injuries, affected extremities, and associated patient demographics.
  • To investigate potential risk factors and compare prognoses for different types of nerve injuries.

Main Methods:

  • Retrospective review of complication records from January 1976 to July 1989.

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  • Inclusion criteria: patients undergoing total hip arthroplasty with documented neurologic complications.
  • Data analysis focused on incidence rates, affected nerves, patient characteristics, and surgical factors.

    • Main Results:

    • An overall incidence of 0.63% for neurologic complications (45 cases in 7,133 THAs) was observed.
    • Lower extremity nerve injuries (0.48%) were more frequent than upper extremity injuries (0.15%).
    • Common peroneal nerve (lower extremity) and ulnar nerve (upper extremity) were most affected; higher risks noted in females, revisions, and with less experienced surgeons.

    Conclusions:

    • Neurologic complications after THA are rare, but carry significant implications.
    • Nerve injuries to the lower extremity have a poorer prognosis than those to the upper extremity.
    • Risk factors include revision surgery, female sex, and surgeon experience, necessitating careful patient selection and surgical technique.