The Journal of Bone and Joint Surgery (American) 79:1870-80 (1997)
© 1997 The Journal of Bone and Joint Surgery, Inc.
Instructional Course Lecture |
Instructional Course Lectures, The American Academy of Orthopaedic Surgeons - Neurovascular Injury Associated with Hip Arthroplasty*
DAVID G. LEWALLEN, M.D. , ROCHESTER, MINNESOTA
An Instructional Course Lecture, The American Academy of Orthopaedic Surgeons
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Introduction
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Neurological and vascular complications following hip arthroplasty are uncommon, and their impact ranges from transient and trivial to permanent and devastating. The proximity of neurological and vascular structures to the hip makes any operation on the hip potentially hazardous. Direct and indirect injury of these structures may occur during the operative exposure and the subsequent procedure. The important features of the neurological and vascular structures that are at risk during a hip arthroplasty, especially the pertinent anatomy, etiology of injuries, and treatment options, provide a foundation of information that can assist the physician who encounters neurological or vascular complications clinically.
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Neurological Complications
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Neurological dysfunction following hip arthroplasty can be due to central neurological injury or to a peripheral-nerve lesion. Peripheral-nerve lesions during hip arthroplasty may be categorized according to severity, location, and onset of symptoms relative to the index procedure. Central neurological injury may occur as a result of prolonged hypoxia, a . . . [Full Text of this Article]

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