Tuesday, August 16, 2022

Study supports vulnerability of sciatic nerve to hip arthroplasty

Osteoarthritis is the leading cause of hip pain in the adult population.

The study included patients prescribed for THA who were evaluated. Photo: Shutterstock.

Total hip arthroplasty (THA), which has been used since 1969, has allowed, and continues to allow, Restoration of mobility and functionality In a significant proportion of people with advanced osteoarthritis, for pain relief, increased function and improved quality of life,

Osteoarthritis is a rheumatic disease which damages the articular cartilage. On the other hand, it is argued in the literature that clinical phenomenon of paralysis Nerve is between 0.6 and 3.7% after THA and sciatic nerve injury was present in more than 80% of cases.

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For this reason, Puerto Rican doctors conducted a study aimed at accurately evaluating the incidence of sciatic nerve injury Later total hip arthroplasty (THA).

with electrophysiology and analyzed data from the Osteoarthritis Index (WOMAC) of Western Ontario and McMaster Universities. Patients over 21 years of age with primary or secondary osteoarthritis, septic avascular necrosis, rheumatoid arthritis and post-traumatic arthritis were included.

In the study, comparing preoperative values ​​with postoperative ones, it was found that 17 patients (70%) had electrophysiological changes. Some of these changes were minimal. These findings can be compared with what has been said in the literature. The normal incidence of nerve damage is mostly reflected in women who use the lateral approach.

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Therefore, the conclusion of the study should be considered sciatic nerve vulnerability When performing a THA through a postoperative approach to reduce complications.

Access the study here.

Nation World News Desk
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