Total Hip Replacement Anterior Approach Nerve Damage

Historically nerve damage from hip surgery has been attributed to mechanical factors caused by anesthesiologists or surgeons such as positioning of the patient during surgery or direct surgical injury of the nerves.

Total hip replacement anterior approach nerve damage.

Total hip replacement surgery is regarded as among the most valued developments in the history of orthopedics. However only a few studies focus on femoral nerve palsy fnp following tha with the direct anterior approach daa. While research is limited many studies seem to suggest that the risk of damage to the major nerves near the hip in particular the sciatic nerve is lower with the anterior approach than with the traditional approaches. The anterior approach through the front of the hip has been utilized as long as the posterior approach but its popularity has grown in the us over the past 10 15 years.

I teach the anterior approach as one of several approaches to the hip joint for thr. Nerve palsy following total hip arthroplasty tha can have a serious effect on a patient s functional prognosis and on cost effectiveness and it is the leading cause of tha associated medical litigation. During surgery your doctor makes an incision in the front of your hip to reach the hip joint. Femoral nerve injury is a rare yet serious complication following the anterior approach.

Injury to the lateral femoral cutaneous nerve lfcn can have a wide range of clinical symptoms ranging from hypesthesia to painful paresthesia. Then they replace the joint with. Direct anterior total hip arthroplasty tha is an increasingly utilized and patient requested approach for arthroplasty carrying a unique set of complications. Many patients request this muscle sparing approach for the theorized benefits of quicker recovery and reduced post operative pain.

5 7 this is because the sciatic nerve runs behind the hip joint so it is not exposed when using the anterior approach. The popularity of the direct anterior approach for total hip arthroplasty tha has dramatically increased in recent years. It should not happen and usually is avoided with meticulous dissection. The most commonly utilized total hip replacement is the posterior approach through the back of the hip which has been performed successfully for decades.

Injury to the sciatic nerve can be a result of excessive traction and or pressure in attempting to gain sufficient exposure of the joint during a thr. Moreover several studies have reported that tha with daa may result in. A patient considering anterior hip replacement surgery.