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17.06.2022 | Original Paper

Common peroneal nerve palsy after primary total hip arthroplasty

verfasst von: Vlad Alexandru Georgeanu, Octav Marius Russu, Bogdan Obada, Madalina-Gabriela Iliescu, Marius Nicolae Popescu, Dan Marcel Iliescu, Vlad Predescu

Erschienen in: International Orthopaedics | Ausgabe 9/2022

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Abstract

Purpose

The study wants to evaluate the incidence, the clinical evolution, and treatment of common peroneal nerve (CPN) palsy after primary total hip arthroplasty.

Methods

Our clinical prospective study was made between January 2016 and December 2020. The study group comprised 1240 total hip replacements over a period of five years. Six cases were diagnosed with CPN palsy (0.48%). Five were women and one man, aged from 52 to 71 years old. The common peroneal nerve lesion was diagnosed clinically and by electromyography.

Results

The follow-up period was at least 24 months post-operatively. In all six cases, there was a complete common peroneal nerve palsy, documented by electromyography. The poorest results were obtained in the older patients and those who had the highest body mass index, which at two years post-operatively achieved only a partial sensory rehabilitation, with complete motor deficit. All patients can walk unassisted, without support, with one case having complete rehabilitation achieved 18 months postoperatively and three with partial rehabilitation.

Conclusion

CPN palsy after primary THA is a very serious complication with poor functional outcome. There is no consensus regarding the treatment. The age and the intensity of the rehabilitation program are the only significant factors for the medical rehabilitation after this debilitating post-operative complication.

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Titel: Common peroneal nerve palsy after primary total hip arthroplasty
verfasst von: Vlad Alexandru Georgeanu
Octav Marius Russu
Bogdan Obada
Madalina-Gabriela Iliescu
Marius Nicolae Popescu
Dan Marcel Iliescu
Vlad Predescu
Publikationsdatum: 17.06.2022
Verlag: Springer Berlin Heidelberg
Erschienen in: International Orthopaedics / Ausgabe 9/2022
Print ISSN: 0341-2695
Elektronische ISSN: 1432-5195
DOI: https://doi.org/10.1007/s00264-022-05477-z

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Common peroneal nerve palsy after primary total hip arthroplasty