Total Hip Replacement Anterior Approach Nerve Damage

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.

Total hip replacement anterior approach nerve damage.

Femoral nerve injury is a rare yet serious complication following the anterior approach. 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. The procedure relieves pain and restores mobility to people whose joints have been damaged by trauma or degenerative diseases such as hip arthritis this article discusses a particular method for total hip replacement called the anterior approach. 5 7 this is because the sciatic nerve runs behind the hip joint so it is not exposed when using the anterior approach.

Total hip replacement surgery is regarded as among the most valued developments in the history of orthopedics. I teach the anterior approach as one of several approaches to the hip joint for thr. The most commonly utilized total hip replacement is the posterior approach through the back of the hip which has been performed successfully for decades. A patient considering anterior hip replacement surgery.

A recent mayo clinic proceedings article links some nerve damage after hip surgery to inflammatory neuropathy. Anterior hip replacement is a common type of total hip replacement. It should not happen and usually is avoided with meticulous dissection. 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.

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. Moreover several studies have reported that tha with daa may result in. Injury to the lateral femoral cutaneous nerve lfcn can have a wide range of clinical symptoms ranging from hypesthesia to painful paresthesia.

Many patients request this muscle sparing approach for the theorized benefits of quicker recovery and reduced post operative pain. The popularity of the direct anterior approach for total hip arthroplasty tha has dramatically increased in recent years. Then they replace the joint with.