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Foot drop following primary total hip arthroplasty.
- Source :
-
Hip international : the journal of clinical and experimental research on hip pathology and therapy [Hip Int] 2020 Mar; Vol. 30 (2), pp. 135-140. Date of Electronic Publication: 2019 Mar 26. - Publication Year :
- 2020
-
Abstract
- Introduction: Foot drop is a potentially debilitating complication following injury to the sciatic nerve during primary total hip arthroplasty (THA). The aim of this study was to determine the incidence, risk factors and outcome of this complication within one large surgical practice.<br />Methods: We analysed the records of 10,624 primary THAs carried out between January 1993 and November 2017 using a posterior approach. All were under the care of the senior author.<br />Results: Overall, there were 47 cases (0.44%) of foot drop, but over time the incidence dropped from 0.6% to 0.3% ( p = 0.033). Preoperative protrusio acetabulae ( p < 0.001), female sex ( p < 0.001) and junior grade of surgeon ( p < 0.009) were all significant risk factors. In this series, dysplasia was not a risk factor. 1 year postoperatively, 25 (53.2%) had complete recovery, 12 (25.5%) had ongoing sensory deficit but normal power, and 10 (21.3%) had a residual sensory-motor deficit.<br />Conclusion: Take home message:- In this series, protrusio acetabulae, female sex and junior grade of surgeon were significant risk factors for foot drop following primary THA.
- Subjects :
- Adolescent
Adult
Aged
Aged, 80 and over
Female
Humans
Incidence
Male
Middle Aged
Peroneal Neuropathies epidemiology
Peroneal Neuropathies physiopathology
Risk Factors
Sciatic Nerve injuries
United Kingdom epidemiology
Young Adult
Arthroplasty, Replacement, Hip adverse effects
Foot innervation
Peroneal Neuropathies etiology
Postoperative Complications
Sciatic Nerve physiopathology
Subjects
Details
- Language :
- English
- ISSN :
- 1724-6067
- Volume :
- 30
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- Hip international : the journal of clinical and experimental research on hip pathology and therapy
- Publication Type :
- Academic Journal
- Accession number :
- 30912466
- Full Text :
- https://doi.org/10.1177/1120700019835454