title: [Avoidance, diagnostics and therapy of nerve lesions after total hip arthroplasty].
abstract: Nerve palsy following total hip arthroplasty is a rare complication. Developmental dysplasia of the hip, previous fracture treatment and medical comorbidities are characteristic risk factors. By accurate preparation of the patient and a careful operative technique nerve palsy can be avoided in most cases. Nerve palsy following poor patient positioning during the perioperative period should be avoided by close cooperation with anesthesiologists.In cases of postoperative nerve palsy correct diagnostics should be carried out immediately. Further treatment options should be considered to minimize the damage. For patients with definite nerve palsy, devices such as a foot drop splint are often necessary and should be carried out as soon as possible.
authors.affiliation: Klinik und Poliklinik für Orthopädie, Universitätsklinikum Carl Gustav Carus, Fetscherstr. 74, 01307 Dresden, Deutschland.
authors.forename: S
authors.initials: S
authors.lastname: Kirschner
authors.forename: J
authors.initials: J
authors.lastname: Goronzy
authors.forename: A
authors.initials: A
authors.lastname: Storch
authors.forename: K-P
authors.initials: KP
authors.lastname: Günther
authors.forename: A
authors.initials: A
authors.lastname: Hartmann
mesh_terms: D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects*; D003943:Diagnostic Techniques, Neurological; D006622:Hip Prosthesis / Q000009:adverse effects*; D006801:Humans; D020422:Mononeuropathies / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy*