دورية أكاديمية
Incidence and clinical outcome of lateral femoral cutaneous nerve injury after periacetabular osteotomy.
| العنوان: | Incidence and clinical outcome of lateral femoral cutaneous nerve injury after periacetabular osteotomy. |
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| المؤلفون: | Fujita J; Department of Orthopaedic Surgery, Fukuoka University Faculty of Medicine, Fukuoka, Japan., Doi N; Department of Orthopaedic Surgery, Fukuoka University Faculty of Medicine, Fukuoka, Japan., Kinoshita K; Department of Orthopaedic Surgery, Fukuoka University Faculty of Medicine, Fukuoka, Japan., Seo H; Department of Orthopaedic Surgery, Fukuoka University Faculty of Medicine, Fukuoka, Japan., Doi K; Department of Orthopaedic Surgery, Fukuoka University Faculty of Medicine, Fukuoka, Japan., Yamamoto T; Department of Orthopaedic Surgery, Fukuoka University Faculty of Medicine, Fukuoka, Japan. |
| المصدر: | The bone & joint journal [Bone Joint J] 2024 May 01; Vol. 106-B (5 Supple B), pp. 11-16. Date of Electronic Publication: 2024 May 01. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: British Editorial Society of Bone & Joint Surgery Country of Publication: England NLM ID: 101599229 Publication Model: Electronic Cited Medium: Internet ISSN: 2049-4408 (Electronic) Linking ISSN: 20494394 NLM ISO Abbreviation: Bone Joint J Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: London : British Editorial Society of Bone & Joint Surgery |
| مواضيع طبية MeSH: | Osteotomy*/adverse effects , Osteotomy*/methods , Acetabulum*/surgery , Acetabulum*/injuries , Postoperative Complications*/epidemiology , Postoperative Complications*/etiology , Peripheral Nerve Injuries*/etiology , Peripheral Nerve Injuries*/epidemiology, Humans ; Female ; Male ; Incidence ; Adult ; Prospective Studies ; Middle Aged ; Femoral Nerve/injuries ; Young Adult ; Treatment Outcome ; Adolescent |
| مستخلص: | Aims: Lateral femoral cutaneous nerve (LFCN) injury is a complication after periacetabular osteo-tomy (PAO) using an anterior approach, which might adversely affect the outcome. However, no prospective study has assessed the incidence and severity of this injury and its effect on the clinical outcomes over a period of time for longer than one year after PAO. The aim of this study was to assess the incidence and severity of the symptoms of LFCN injury for ≥ three years after PAO and report its effect on clinical outcomes. Methods: A total of 40 hips in 40 consecutive patients who underwent PAO between May 2016 and July 2018 were included in the study, as further follow-up of the same patients from a previous study. We prospectively evaluated the incidence, severity, and area of symptoms following LFCN injury. We also recorded the clinical scores at one year and ≥ three years postoperatively using the 36-Item Short Form Health Survey (SF-36) and Japanese Orthopaedic Association Hip Disease Evaluation Questionnaire (JHEQ) scores. Results: A total of 20 patients (50%) had symptoms of a LFCN injury at one year after PAO. At ≥ three years postoperatively, the symptoms had completely resolved in seven of these patients and 13 (33%) had persistent symptoms. The severity and area of symptoms did not significantly differ between one and ≥ three years postoperatively. The JHEQ showed significant differences in the patient satisfaction and mental scores between those with and those without sypmtoms of LFCN injury at ≥ three years postoperatively, while there was no significant difference in the mean SF-36 scores. Conclusion: The incidence of LFCN injury after PAO using an anterior approach is high. The outcome of PAO, ≥ three years postoperatively, is poorer in patients with persistent symptoms from a perioperative LFCN injury, in that patient satisfaction and mental health scores are adversely affected. Competing Interests: None declared. (© 2024 The British Editorial Society of Bone & Joint Surgery.) |
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| تواريخ الأحداث: | Date Created: 20240430 Date Completed: 20240430 Latest Revision: 20240430 |
| رمز التحديث: | 20240501 |
| DOI: | 10.1302/0301-620X.106B5.BJJ-2023-0621.R1 |
| PMID: | 38688486 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 2049-4408 |
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| DOI: | 10.1302/0301-620X.106B5.BJJ-2023-0621.R1 |