지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2014.1
- 수록면
- 74 - 78 (5page)
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초록· 키워드
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Neurological and vascular complications following hip arthroplasty are uncommon, and their impact ranges from transient and trivial to permanent and devastating. The proximity of neural and vascular structures makes any operation on the hip potentially hazardous. Direct or indirect injuries of these structures may occur during operative exposure and subsequent procedures. Thus, complete awareness of the anatomy of the pelvis and proximal femur is required. Peripheral nerve injuries can involve either distant sites or nerves in the immediate vicinity of the hip joint. Sciatic nerve injury is the most common nerve injury following total hip arthroplasty. Femoral nerve injury is much less common and is associated with an anterior approach. Its diagnosis is often delayed, but the prognosis is generally better than with sciatic nerve injury. The superior gluteal nerve is at risk during the direct lateral approach. Obturator nerve injury is the least common type of injury and has the least functional consequences. Vascular injuries are less common but more immediately life threatening. The mechanisms of vascular injury include occlusion associated with preexisting peripheral vascular disease and vascular injury during removal of cement during screw fixation of acetabular components, cages, or structural grafts. It is critical to avoid the anterior quadrants for acetabular screw fixation. All acetabular and femoral defects should be bone-grafted to avoid inadvertent cement migration. Following these guidelines, surgeons should be able to offer the most appropriate treatment and counseling to the patients.
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등록된 정보가 없습니다.
참고문헌 (26)
참고문헌 신청
Black DL / 1991 / Somatosensory-evoked potential monitored during total hip arthroplasty / Clin Orthop Relat Res 262 : 170 ~ 177
Brentlinger A / 1987 / Perforation of the external iliac artery and ureter presenting as acute hemorrhagic cystitis after total hip replacement. Report of a case / J Bone Joi
Brown GD / 2008 / Neurologic injuries after total hip arthroplasty / Am J Orthop(Belle Mead NJ) 37 : 191 ~ 197
DeHart MM / 1999 / Nerve injuries in total hip arthroplasty / J Am Acad Orthop Surg 7 : 101 ~ 111
Edwards BN / 1987 / Contributory factors and etiology of sciatic nerve palsy in total hip arthroplasty / Clin Orthop Relat Res 218 : 136 ~ 141
Brentlinger A / 1987 / Perforation of the external iliac artery and ureter presenting as acute hemorrhagic cystitis after total hip replacement. Report of a case / J Bone Joi
Brown GD / 2008 / Neurologic injuries after total hip arthroplasty / Am J Orthop(Belle Mead NJ) 37 : 191 ~ 197
DeHart MM / 1999 / Nerve injuries in total hip arthroplasty / J Am Acad Orthop Surg 7 : 101 ~ 111
Edwards BN / 1987 / Contributory factors and etiology of sciatic nerve palsy in total hip arthroplasty / Clin Orthop Relat Res 218 : 136 ~ 141
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