Menu
Menu
19 Harley St, London, W1G 9QJ, UK

End result of surgical procedure for nerve damage following complete hip arthroplasty.

Related Articles

End result of surgical procedure for nerve damage following complete hip arthroplasty.

Int Orthop. 2017 Dec 28;:

Authors: Pritchett JW

Summary
PURPOSE: Throughout hip substitute, nerves within the operative discipline may be injured accidently. Further surgical procedures may help restore perform and scale back ache if there was no restoration.
METHODS: One-hundred sixty-two sufferers introduced with nerve accidents, and 113 had been candidates for surgical remedy. The creator carried out 91 procedures on the injured limb (80 sufferers; 11 had 2 procedures) consisting of shortening, sympathectomy, tendon switch, neurolysis or nerve restore/graft and 30 spinal and three fibular-neck decompressions. A significant restoration was outlined as a rise of >1 stage in power or a discount of >2 factors on the visible analogue (VAS) ache scale.
RESULTS: Of 21 shortening procedures, 15 improved; of 12 nerve restore/grafting procedures, 4 improved. No affected person >55 years of age made a significant restoration from a nerve restore/graft. One obturator nerve was resected and didn’t enhance, and two had been buried in muscle and had much less ache. Of seven sympathectomies, six had much less dysesthetic ache. Of 28 nerves handled with neurolysis, 24 made a significant restoration, with 13 making a close to full restoration. Of three fibular decompressions, two recovered fully. Of 20 tendon transfers, 18 made a significant restoration. Of 30 spinal decompressions, 25 made a significant restoration. There have been six (5.three%) surgical issues (2 worsening ache, 2 infections, 2 deformities from tendon switch).
CONCLUSIONS: If a sciatic, femoral or obturator nerve damage resulting from hip substitute doesn’t recuperate spontaneously, extra surgical procedures may be of profit.

PMID: 29282488 [PubMed – as supplied by publisher]

Related Articles Outcome of surgery for nerve injury following total hip arthroplasty. Int Orthop. 2017 Dec 28;: Authors: Pritchett JW Abstract PURPOSE: During hip replacement, nerves in the operativ...

What our patients say ...

Consultant Spinal Surgeon
Consultant Spinal Surgeon
Consultant Spinal Surgeon
Consultant Spinal Surgeon
Consultant Spinal Surgeon
Consultant Spinal Anaesthetist

This surgical technique consists of a percutaneous approach for the treatment of small to medium size hernias of the intervertebral disc by laser energy. The main objective is to reduce the intradiscal pressure in the nucleus pulposus

Laser Disc Surgery can be performed under local anaesthetic as a day case at our centre on the prestigious Harley Street.
What is London spine unit and How it Works

The London Spine Unit was established in 2005 and has successfully treated over 5000 patients. All conditions are treated.

treatment of all spinal disorders

The London Spine Unit specialises in Minimally Invasive Treatments allowing rapid recovery and return to normal function

Trusted by patients worldwide

The London Spine Unit provides the highest quality care to all patients and has VIP services for those seeking exceptional services

Laser Spine Surgery Articles

SHADES of grey – The challenge of ‘grumbling’ cauda equina symptoms in older adults with lumbar spinal stenosis.
Abstract Diagnosing cauda equina syndrome is challenging in older adults with lumbar spinal stenosis. Understanding these challenges is vital for
Read more.
The influence of preoperative mental health on clinical outcomes after laminectomy in patients with lumbar spinal stenosis.
Abstract OBJECTIVE: The influence of preoperative mental health on health-related quality of life (HRQOL) in patients with lumbar spinal stenosis
Read more.
MicroRNA transcriptome analysis on hypertrophy of ligamentum flavum in patients with lumbar spinal stenosis.
Abstract Introduction: Molecular pathways involved in ligamentum flavum (LF) hypertrophy are still unclarified. The purpose of this study was to
Read more.
Salvage Strategy for Failed Spinal Fusion Surgery Using Lumbar Lateral Interbody Fusion technique: A Technical Note.
Abstract Introduction: Failed spinal fusion surgery sometimes requires salvage surgery when symptomatic, especially with postsurgical decrease in intervertebral disc height
Read more.
Integrated anatomy of the neuromuscular, visceral, vascular, and urinary tissues determined by MRI for a surgical approach to lateral lumbar
Abstract Introduction: To comprehensively investigate the anatomy of the neuromuscular, visceral, vascular, and urinary tissues and their general influence on
Read more.
Clinical Outcomes of Treating Cervical Adjacent Segment Disease by Anterior Cervical Discectomy and Fusion Versus Total Disc Replacement: A Systematic
Related Articles Clinical Outcomes of Treating Cervical Adjacent Segment Disease by Anterior Cervical Discectomy and Fusion Versus Total Disc Replacement:
Read more.

If you have any emergency Doctor’s need, simply call our 24 hour emergency

Your personal case manager will ensure that you receive the best possible care.

Call Now 

+44 844 589 2020
+44 203 973 8810