Acetabular anatomy and the transacetabular fixation of screws in total hip arthroplasty.

Fischer, W

doi:10.2106/00004623-199173080-00021

Cited by 2 publications

(1 citation statement)

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“…Reported causes of neuropathy following THA include cement extrusion via mass effect or thermal burn, anterior inferior intra-acetabular screw placement, and inferior retractor placement. 23,27,[29][30][31] Bone grafting any medial defects when cementing the acetabular component is recommended. 27,32 Current treatment options for obturator nerve palsy are aimed at prevention.…”

Section: Obturator Nerve Palsymentioning

confidence: 99%

Nerve Palsy following Total Hip Arthroplasty: A Review of the Current Literature

Salandra

Deliso

Tang

et al. 2022

The Journal of Hip Surgery

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The incidence of postoperative nerve palsy following total hip arthroplasty (THA) is reported to be 1 to 2%. The most common injury is to the sciatic nerve, but other nerve palsies including the femoral, obturator, and pudendal nerves, have been implicated. There is also an increased risk of nerve palsy following THA in female patients, those who undergo revision procedures, and those with a previous history of developmental hip dysplasia. The prognosis for recovery for each nerve palsy is directly correlated to the extent of nerve damage. Prevention is always the best form of treatment for these conditions, and one method by which this may be accomplished is through electromyography and other variations of intraoperative observation.

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Section: Obturator Nerve Palsymentioning

confidence: 99%

Nerve Palsy following Total Hip Arthroplasty: A Review of the Current Literature

Salandra

Deliso

Tang

et al. 2022

The Journal of Hip Surgery

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Direct Anterior Approach for Revision Total Hip Arthroplasty: Anatomy and Surgical Technique

Alden

Yerasimides

Kamath

2020

J Am Acad Orthop Surg

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There has been increased interest and literature on the efficacy of direct anterior approach (DAA) for total hip arthroplasty (THA). Developments in surgical technique and instrumentation, along with exposure earlier in orthopaedic residency training, may augment the adoption of this approach among practicing orthopaedic surgeons. With the increasing number of primary THA performed through the DAA, understanding the indications and techniques associated with revision THA via the DAA has proved increasingly important. Patient positioning, understanding surgical anatomy and extensile maneuvers, and applying key reconstructive methods are essential for obtaining adequate exposure and fixation. Acetabular exposure can be facilitated through capsular and soft-tissue release, along with extensile approaches to the pelvis and acetabulum. Extensile distal extension can be performed for safe access to the femur, including extended femoral osteotomies. The purpose of this review is to describe indications, surgical anatomy, intraoperative tips, clinical outcomes, and complications after DAA for revision THA.

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Acetabular anatomy and the transacetabular fixation of screws in total hip arthroplasty.

Cited by 2 publications

References 0 publications

Nerve Palsy following Total Hip Arthroplasty: A Review of the Current Literature

Nerve Palsy following Total Hip Arthroplasty: A Review of the Current Literature

Direct Anterior Approach for Revision Total Hip Arthroplasty: Anatomy and Surgical Technique

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