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Archives of Orthopaedic and Trauma Surgery

, Volume 134, Issue 10, pp 1477–1482 | Cite as

Long-term prognosis of nerve palsy after total hip arthroplasty: results of two-year-follow-ups and long-term results after a mean time of 8 years

  • B. ZappeEmail author
  • P. M. Glauser
  • M. Majewski
  • H. R. Stöckli
  • P. E. Ochsner
Hip Arthroplasty

Abstract

Introduction

Nerve damage is a rare but serious complication after THA. There exist only little data about the outcome of these patients particularly regarding the long-term results later than 2 years postoperatively. Aim of this study is to answer the following questions: Is the recovery to be expected for light nerve lesions different from the severe ones? Is there a possibility of nerve recovery more than 2 years after THA? Is the potential of nerve recovery depending on the affected nerve?

Materials and methods

This study investigates 2,255 primary THA as well as revision surgeries performed from 1988 to 2003 relating to iatrogenic nerve lesion. We classified the nerve lesion according to the core muscle strength in severe (M0–M2) and light (M3–M4) nerve damage and differentiated between femoral, sciatic and superior gluteal nerve, according to the electromyography.

Results

We found 34 cases of iatrogenic nerve damage representing an incidence of 1.5 %. 17 of 34 (50 %) patients showed a complete recovery after 2 years. Out of the remaining 17 patients, six out of seven patients with a final examination after a median time of 93 months achieved further improvement. The different nerves showed no significant different potential of recovery.

Conclusions

In contrast to the literature, an improvement beyond the limit of 2 years is probable and independent of the nerve affected.

Keywords

Nerve lesion Total hip arthroplasty Long-term prognosis .Potential for recovery 

Notes

Acknowledgments

We want to thank Susanna Häfliger for the data research and support.

Conflict of interest

Authors have no conflicts of interest or financial ties to disclose.

Ethical standard

This study was approved by the local ethical committee (Ref. 192/13).

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Copyright information

© Springer-Verlag Berlin Heidelberg 2014

Authors and Affiliations

  • B. Zappe
    • 1
    Email author
  • P. M. Glauser
    • 1
  • M. Majewski
    • 2
  • H. R. Stöckli
    • 3
  • P. E. Ochsner
    • 4
  1. 1.Department of TraumatologyUniversity HospitalBaselSwitzerland
  2. 2.Department of Orthopedic SurgeryUniversity HospitalBaselSwitzerland
  3. 3.Kantonsspital LiestalLiestalSwitzerland
  4. 4.Department for Orthopaedic SurgeryKantonsspital LiestalLiestalSwitzerland

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