Vlad Alexandru Georgeanu1,2, Octav Marius Russu3,4, Bogdan Obada5, Madalina-Gabriela Iliescu6, Marius Nicolae Popescu1,7, Dan Marcel Iliescu8, Vlad Predescu1,9. 1. University of Medicine and Pharmacy "Carol Davila", Bucharest, Romania. 2. Clinic of Orthopaedics and Trauma Surgery, "St. Pantelimon" Hospital, Bucharest, Romania. 3. Department of Orthopaedics and Traumatology, Clinical County Hospital, Tîrgu Mureș, Romania. 4. Department of General Medicine, University of Medicine, Pharmacy, Sciences and Technology "George Emil Palade", Tîrgu Mureș, Romania. 5. Department of Orthopedics, Faculty of Medicine, Ovidius University of Constanta, Constanta, Romania. bogdanobada@yahoo.com. 6. Department of Rehabilitation, Faculty of Medicine, Ovidius University of Constanta, Constanta, Romania. 7. Department of Rehabilitation, Elias Teaching Hospital, Bucharest, Romania. 8. Department of Anatomy, Faculty of Medicine, Ovidius University of Constanta, Constanta, Romania. 9. Ponderas Academic Hospital, Bucharest, Romania.
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.
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.
Authors: Krzysztof A Tomaszewski; Matthew J Graves; Brandon Michael Henry; Patrick Popieluszko; Joyeeta Roy; Przemysław A Pękala; Wan Chin Hsieh; Jens Vikse; Jerzy A Walocha Journal: J Orthop Res Date: 2016-02-22 Impact factor: 3.494
Authors: Kevin M Klifto; Said C Azoury; Caresse F Gurno; Elizabeth B Card; L Scott Levin; Stephen J Kovach Journal: J Plast Reconstr Aesthet Surg Date: 2021-10-30 Impact factor: 2.740