{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:18:48Z","timestamp":1787753928408,"version":"build-2784847793"},"reference-count":72,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,2,4]]},"abstract":"<jats:p>\n                    <jats:list list-type=\"plain\">\n                      <jats:list-item>\n                        <jats:p>\u27a2 Neurological injury remains the most common reason for ligation following total hip arthroplasty.<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>\u27a2 The main risk factors for neurological injury following total hip arthroplasty are preexisting spinal pathology, revision surgery, complex hip anatomy, female sex, surgeon inexperience, and excessive limb lengthening.<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>\u27a2 Postoperative pelvic computed tomographic scans may be used to assess component positioning and identify any compressive hematomas. Magnetic resonance imaging with a metal artifact reduction protocol may be used to evaluate architectural changes in the affected nerve.<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>\u27a2 Electromyography and nerve conduction studies may help to assess the level and grade of the nerve injury. These tests are most useful when performed in patients who show no signs of neurological improvement 3 to 6 weeks after surgery.<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>\u27a2 The mainstay of nonoperative management is supportive care with physical therapy, an ankle-foot orthosis, and neuropathic pain treatment.<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>\u27a2 The prognosis for a femoral nerve injury is generally more favorable than that for a sciatic nerve injury following total hip arthroplasty.<\/jats:p>\n                      <\/jats:list-item>\n                    <\/jats:list>\n                  <\/jats:p>","DOI":"10.2106\/jbjs.25.00389","type":"journal-article","created":{"date-parts":[[2025,12,26]],"date-time":"2025-12-26T19:00:15Z","timestamp":1766775615000},"page":"181-192","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["The Management of Neurological Injuries Following Total Hip Arthroplasty"],"prefix":"10.2106","volume":"108","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6611-3989","authenticated-orcid":false,"given":"Babar","family":"Kayani","sequence":"first","affiliation":[{"name":"Joint Reconstruction Unit, Royal National Orthopaedic Hospital, Stanmore, England"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7637-2869","authenticated-orcid":false,"given":"John G.","family":"Stammers","sequence":"additional","affiliation":[{"name":"Joint Reconstruction Unit, Royal National Orthopaedic Hospital, Stanmore, England"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-9432-5621","authenticated-orcid":false,"given":"James","family":"Donaldson","sequence":"additional","affiliation":[{"name":"Joint Reconstruction Unit, Royal National Orthopaedic Hospital, Stanmore, England"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simon","family":"Newman","sequence":"additional","affiliation":[{"name":"Joint Reconstruction Unit, Royal National Orthopaedic Hospital, Stanmore, England"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3910-6211","authenticated-orcid":false,"given":"Chethan","family":"Jayadev","sequence":"additional","affiliation":[{"name":"Joint Reconstruction Unit, Royal National Orthopaedic Hospital, Stanmore, England"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6939-5504","authenticated-orcid":false,"given":"Jonathan","family":"Miles","sequence":"additional","affiliation":[{"name":"Joint Reconstruction Unit, Royal National Orthopaedic Hospital, Stanmore, England"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John A.","family":"Skinner","sequence":"additional","affiliation":[{"name":"Joint Reconstruction Unit, Royal National Orthopaedic Hospital, Stanmore, England"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Fox","sequence":"additional","affiliation":[{"name":"Peripheral Nerve Injury Unit, Royal National Orthopaedic Hospital, Stanmore, England"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,12,26]]},"reference":[{"key":"bib1-20260204","doi-asserted-by":"crossref","first-page":"239","DOI":"10.1097\/00003086-197309000-00031","article-title":"The Stanmore metal on metal total hip prosthesis using a three pin type cup. 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