Nerve paralysis after surgery of the hip. Apropos of 48 cases
Roblin, L.; Tea, S.; Le Saout, J.; Lefevre, C.; Fenoll, B.; Courtois, B.; Mabin, D.; Pauly, A.
Revue de Chirurgie Orthopedique et Reparatrice de l'Appareil Moteur 75(2): 104-111
1989
ISSN/ISBN: 0035-1040 PMID: 2544932 Document Number: 347296
This study is based on 48 cases of paralysis of the femoral or sciatic nerves complicating hip surgery, mostly total hip arthroplasty. Most of these lesions arose during difficult operations. The diagnosis was clinical and electromyographic, but it was not always made from the outset. The prognosis was better for the cases of paralysis of the femoral or peroneal nerves than for the cases of generalised sciatic paralysis in which the recovery, slower as it was, was only satisfactory in 15 cases out of 26. The treatment was primarily medical and required reeducation. A surgical treatment was considered when the electrical exploration showed no improvement after 6 weeks.