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Report on peripheral nerve lesions due to total replacement of the hip-joint based on the literature and the authors' own experience. In 15 patients our diagnosis was made on clinical and electromyographic evidence. 16 endoprostheses had been inserted. The femoral nerve was involved on 12 occasions, the sciatic in 5, the glutei in 5, the obturator in 2, the lateral cutaneous femoris in 2 and the posterior cutaneous in 1 instances. One has to count on about 1% of such lesions. This type of paresis has to be distingushed from pseudopareses for which electromyography was proved very effective. Damage due to overstretching is probably the main cause. Treatment with thorough physiotherapy and faradic stimulation is needed. When this is done the prognosis is generally favourable. In some cases, however, these complications may limit the success of the operation and postoperative disability may be worse than before.
F Schumm, and
M Stöhr, and
H L Bauer, and
T h Eck
February 1974,
Zeitschrift fur Orthopadie und ihre Grenzgebiete,
F Schumm, and
M Stöhr, and
H L Bauer, and
T h Eck
January 1980,
Zentralblatt fur Chirurgie,
F Schumm, and
M Stöhr, and
H L Bauer, and
T h Eck
June 1976,
Archiv fur orthopadische und Unfall-Chirurgie,
F Schumm, and
M Stöhr, and
H L Bauer, and
T h Eck
October 1975,
Zeitschrift fur Orthopadie und ihre Grenzgebiete,
F Schumm, and
M Stöhr, and
H L Bauer, and
T h Eck
January 1977,
Archiv fur orthopadische und Unfall-Chirurgie,
F Schumm, and
M Stöhr, and
H L Bauer, and
T h Eck
June 1975,
Archiv fur orthopadische und Unfall-Chirurgie,
F Schumm, and
M Stöhr, and
H L Bauer, and
T h Eck
October 1978,
Acta chirurgiae orthopaedicae et traumatologiae Cechoslovaca,
F Schumm, and
M Stöhr, and
H L Bauer, and
T h Eck
June 1977,
Archiv fur orthopadische und Unfall-Chirurgie,
F Schumm, and
M Stöhr, and
H L Bauer, and
T h Eck
January 1981,
Annales de radiologie,
F Schumm, and
M Stöhr, and
H L Bauer, and
T h Eck
January 1978,
Magyar traumatologia, orthopaedia es helyreallito sebeszet,
