Total Hip Replacement Anterior Approach Nerve Damage

However only a few studies focus on femoral nerve palsy fnp following tha with the direct anterior approach daa.

Total hip replacement anterior approach nerve damage.

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. 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. Moreover several studies have reported that tha with daa may result in. A recent mayo clinic proceedings article links some nerve damage after hip surgery to inflammatory neuropathy.

The most commonly utilized total hip replacement is the posterior approach through the back of the hip which has been performed successfully for decades. I teach the anterior approach as one of several approaches to the hip joint for thr. It should not happen and usually is avoided with meticulous dissection. Total hip replacement surgery is regarded as among the most valued developments in the history of orthopedics.

Femoral nerve injury is a rare yet serious complication following the anterior approach. A patient considering anterior hip replacement surgery. 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. The popularity of the direct anterior approach for total hip arthroplasty tha has dramatically increased in recent years.

Anterior hip replacement is a common type of total hip replacement. Injury to the lateral femoral cutaneous nerve lfcn can have a wide range of clinical symptoms ranging from hypesthesia to painful paresthesia. Direct anterior total hip arthroplasty tha is an increasingly utilized and patient requested approach for arthroplasty carrying a unique set of complications. 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.

5 7 this is because the sciatic nerve runs behind the hip joint so it is not exposed when using the anterior approach. Then they replace the joint with. Many patients request this muscle sparing approach for the theorized benefits of quicker recovery and reduced post operative pain.