{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T18:23:05Z","timestamp":1773598985698,"version":"3.50.1"},"reference-count":26,"publisher":"British Editorial Society of Bone & Joint Surgery","issue":"2","license":[{"start":{"date-parts":[[2012,2,1]],"date-time":"2012-02-01T00:00:00Z","timestamp":1328054400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/online.boneandjoint.org.uk\/TDM"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Journal of Bone and Joint Surgery. British volume"],"published-print":{"date-parts":[[2012,2]]},"abstract":"<jats:p>Peripheral nerve injury is an uncommon but serious complication of hip surgery that can adversely affect the outcome. Several studies have described the use of electromyography and intra-operative sensory evoked potentials for early warning of nerve injury. We assessed the results of multimodal intra-operative monitoring during complex hip surgery. We retrospectively analysed data collected between 2001 and 2010 from 69 patients who underwent complex hip surgery by a single surgeon using multimodal intra-operative monitoring from a total pool of 7894 patients who underwent hip surgery during this period. In 24 (35%) procedures the surgeon was alerted to a possible lesion to the sciatic and\/or femoral nerve. Alerts were observed most frequently during peri-acetabular osteotomy. The surgeon adapted his approach based on interpretation of the neurophysiological changes. From 69 monitored surgical procedures, there was only one true positive case of post-operative nerve injury. There were no false positives or false negatives, and the remaining 68 cases were all true negative. The sensitivity for predicting post-operative nerve injury was 100% and the specificity 100%. We conclude that it is possible and appropriate to use this method during complex hip surgery and it is effective for alerting the surgeon to the possibility of nerve\u00a0injury.<\/jats:p>","DOI":"10.1302\/0301-620x.94b2.28019","type":"journal-article","created":{"date-parts":[[2012,2,8]],"date-time":"2012-02-08T20:16:57Z","timestamp":1328732217000},"page":"179-184","source":"Crossref","is-referenced-by-count":28,"title":["Use of multimodal intra-operative monitoring in averting nerve injury during complex hip surgery"],"prefix":"10.1302","volume":"94-B","author":[{"given":"M.","family":"Sutter","sequence":"first","affiliation":[{"name":"Schulthess Clinic, Lengghalde 2, Zurich 8008, Switzerland."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"O.","family":"Hersche","sequence":"additional","affiliation":[{"name":"Schulthess Clinic, Lengghalde 2, Zurich 8008, Switzerland."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Leunig","sequence":"additional","affiliation":[{"name":"Schulthess Clinic, Lengghalde 2, Zurich 8008, Switzerland."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T.","family":"Guggi","sequence":"additional","affiliation":[{"name":"Schulthess Clinic, Lengghalde 2, Zurich 8008, Switzerland."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.","family":"Dvorak","sequence":"additional","affiliation":[{"name":"Schulthess Clinic, Lengghalde 2, Zurich 8008, Switzerland."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Eggspuehler","sequence":"additional","affiliation":[{"name":"Schulthess Clinic, Lengghalde 2, Zurich 8008, Switzerland."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"42","reference":[{"key":"r1","doi-asserted-by":"crossref","first-page":"136","DOI":"10.1097\/00003086-198705000-00019","volume":"218","author":"Edwards BN","year":"1987","journal-title":"Clin Orthop"},{"key":"r2","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-198310000-00034"},{"key":"r3","doi-asserted-by":"crossref","first-page":"138","DOI":"10.1097\/00003086-198906000-00020","volume":"243","author":"Nercessian OA","year":"1989","journal-title":"Clin Orthop"},{"key":"r4","doi-asserted-by":"publisher","DOI":"10.1016\/S0883-5403(06)80057-4"},{"key":"r5","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199173070-00018"},{"key":"r6","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-197658010-00011"},{"key":"r7","doi-asserted-by":"publisher","DOI":"10.1016\/0883-5403(94)90119-8"},{"key":"r8","first-page":"275","volume":"47","author":"Lewallen DG","year":"1998","journal-title":"Instr Course Lect"},{"key":"r9","doi-asserted-by":"publisher","DOI":"10.3171\/jns.2004.101.1.0008"},{"key":"r10","first-page":"1920","author":"Peters CL","year":"2006","journal-title":"J Bone Joint Surg [Am]"},{"key":"r11","doi-asserted-by":"crossref","first-page":"223","DOI":"10.1097\/00003086-199103000-00025","volume":"264","author":"Kennedy WF","year":"1991","journal-title":"Clin Orthop"},{"key":"r12","doi-asserted-by":"publisher","DOI":"10.1016\/0883-5403(94)90137-6"},{"key":"r13","doi-asserted-by":"publisher","DOI":"10.1016\/S0883-5403(05)80020-8"},{"key":"r14","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200200002-00007"},{"key":"r15","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-007-0424-9"},{"key":"r16","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-007-0418-7"},{"key":"r17","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-007-0417-8"},{"key":"r18","unstructured":"Medical Research Council.Aids to the examination of the peripheral nervous system, Memorandum no. 45. 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