title: [Femoral nerve palsy as delayed complication after total hip replacement: delayed hematoma formation in unexpected screw malpositioning].
abstract: Nerve injury after total hip replacement is a rare but severe complication. If the nerve lesion becomes evident in the early postoperative phase the lesion is often due to an incorrect implant position, direct nerve injury or vascular injury with manifestation of a hematoma which results in nerve compression. Secondary nerve lesions are more often due to a chronic hematoma with nerve compression. Secondary nerve lesions in particular are often a diagnostic challenge and should lead to an early revision after comprehensive imaging diagnostics.
authors.affiliation: Klinik und Poliklinik für Orthopädie, Universitätsklinikum Carl Gustav Carus, Fetscherstr. 74, 01307, Dresden, Deutschland.
authors.forename: H
authors.initials: H
authors.lastname: Fritzsche
authors.forename: S
authors.initials: S
authors.lastname: Kirschner
authors.forename: A
authors.initials: A
authors.lastname: Hartmann
authors.forename: C
authors.initials: C
authors.lastname: Hamann
mesh_terms: D000369:Aged, 80 and over; D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects*; D001863:Bone Screws / Q000009:adverse effects*; D005260:Female; D020428:Femoral Neuropathy / Q000175:diagnosis* / Q000209:etiology*; D006406:Hematoma / Q000209:etiology*; D006801:Humans; D010243:Paralysis / Q000175:diagnosis* / Q000209:etiology*; D019919:Prosthesis Implantation / Q000009:adverse effects; D017211:Treatment Failure