{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,23]],"date-time":"2026-04-23T08:02:02Z","timestamp":1776931322594,"version":"3.51.2"},"reference-count":13,"publisher":"British Editorial Society of Bone & Joint Surgery","issue":"1","license":[{"start":{"date-parts":[[2013,1,1]],"date-time":"2013-01-01T00:00:00Z","timestamp":1356998400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/online.boneandjoint.org.uk\/TDM"}],"content-domain":{"domain":["online.boneandjoint.org.uk"],"crossmark-restriction":true},"short-container-title":["The Bone &amp; Joint Journal"],"published-print":{"date-parts":[[2013,1]]},"abstract":"<jats:p> The purpose of this study was to establish whether exploration and neurolysis is an effective method of treating neuropathic pain in patients with a sciatic nerve palsy after total hip replacement (THR). A total of 56 patients who had undergone this surgery at our hospital between September 1999 and September 2010 were retrospectively identified. There were 42 women and 14 men with a mean age at exploration of 61.2 years (28 to 80). The sciatic nerve palsy had been sustained by 46 of the patients during a primary THR, five during a revision THR and five patients during hip resurfacing. The mean pre-operative visual analogue scale (VAS) pain score was 7.59 (2 to 10), the mean post-operative VAS was 3.77 (0 to 10), with a resulting mean improvement of 3.82 (0 to 10). The pre- and post-neurolysis VAS scores were significantly different (p &lt; 0.001). Based on the findings of our study, we recommend this form of surgery over conservative management in patients with neuropathic pain associated with a sciatic nerve palsy after THR. <\/jats:p><jats:p> Cite this article: Bone Joint J 2013;95-B:20\u20132. <\/jats:p>","DOI":"10.1302\/0301-620x.95b1.29740","type":"journal-article","created":{"date-parts":[[2013,1,8]],"date-time":"2013-01-08T20:07:42Z","timestamp":1357675662000},"page":"20-22","update-policy":"https:\/\/doi.org\/10.1302\/crossmark-policy","source":"Crossref","is-referenced-by-count":27,"title":["Exploration and neurolysis for the treatment of neuropathic pain in patients with a sciatic nerve palsy after total hip replacement"],"prefix":"10.1302","volume":"95-B","author":[{"given":"S.","family":"Kyriacou","sequence":"first","affiliation":[{"name":"Royal National Orthopaedic Hospital, Peripheral\rNerve Injury Unit, Brockley Hill, Stanmore, Middlesex\rHA7 4LP, UK."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P. 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