{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,7]],"date-time":"2026-06-07T03:58:13Z","timestamp":1780804693934,"version":"3.54.1"},"reference-count":24,"publisher":"Bentham Science Publishers Ltd.","issue":"1","license":[{"start":{"date-parts":[[2018,4,23]],"date-time":"2018-04-23T00:00:00Z","timestamp":1524441600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/legalcode"}],"content-domain":{"domain":["openorthopaedicsjournal.com","benthamopen.com"],"crossmark-restriction":true},"short-container-title":["TOORTHJ"],"published-print":{"date-parts":[[2018,4,23]]},"abstract":"<jats:sec><jats:title>Background:<\/jats:title><jats:p>Nerve palsy following total hip arthroplasty (THA) is a complication that worsens the functional prognosis. The present study analyzed the risk factors of nerve palsy following THA.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods:<\/jats:title><jats:p>The subjects of this study included 6,123 cases in which primary THA was performed under spinal anesthesia with cementless implants used in the posterolateral approach.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results:<\/jats:title><jats:p>Fourteen cases (0.22%) developed nerve palsy following THA, all of which involved palsy of the entire peroneal nerve region. The diagnoses included osteoarthritis due to subluxation (n=6), complete hip dislocation (n=3), osteonecrosis of the femoral head (n=2), primary osteoarthritis (n=1), osteoarthritis due to trauma (n=1), and multiple osteochondromatosis (n=1). Recovery from nerve palsy was confirmed in 10 cases; the longest recovery period was three years. A univariate analysis revealed significant differences in the osteoarthritis due to subluxation, osteonecrosis of the femoral head, complete hip dislocation, body weight and body mass index. However, none of the factors remained significant in multivariate analysis. Peroneal (ischiadic) nerve palsy following THA occurred in patients with osteonecrosis of the femoral head, complete hip dislocation, low body weight and a low body mass index. However, there were no cases of nerve palsy after the introduction of THA combined with shortening osteotomy of the femur for complete hip dislocation. patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion:<\/jats:title><jats:p>It is necessary to pay attention to direct pressure in cases of lower body weight and lower BMI because compression of the sciatic nerve during surgery and compression of the fibular head are considered to be risk factors.<\/jats:p><\/jats:sec>","DOI":"10.2174\/1874325001812010164","type":"journal-article","created":{"date-parts":[[2018,4,23]],"date-time":"2018-04-23T09:08:54Z","timestamp":1524474534000},"page":"164-172","update-policy":"https:\/\/doi.org\/10.2174\/crossmark_policy","source":"Crossref","is-referenced-by-count":19,"title":["Risk Factors for the Development of Nerve Palsy Following Primary Total Hip Arthroplasty"],"prefix":"10.2174","volume":"12","author":[{"given":"Shunsuke","family":"Kawano","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Motoki","family":"Sonohata","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masaru","family":"Kitajima","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masaaki","family":"Mawatari","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"965","reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"304","DOI":"10.1503\/cjs.002916","volume":"59","author":"Singh J.","year":"2016","unstructured":"Singh J, Politis A, Loucks L, Hedden DR, Bohm ER. Trends in revision hip and knee arthroplasty observations after implementation of a regional joint replacement registry. Can J Surg 2016; 59 (5) : 304-10.","journal-title":"Can. J. Surg."},{"key":"ref2","doi-asserted-by":"publisher","first-page":"128","DOI":"10.1503\/cjs.007214","volume":"58","author":"Petis S.","year":"2015","unstructured":"Petis S, Howard JL, Lanting BL, Vasarhelyi EM. Surgical approach in primary total hip arthroplasty: Anatomy, technique and clinical outcomes. Can J Surg 2015; 58 (2) : 128-39.","journal-title":"Can. J. Surg."},{"key":"ref3","doi-asserted-by":"publisher","first-page":"1074","DOI":"10.2106\/00004623-199173070-00018","volume":"73","author":"Schmalzried T.P.","year":"1991","unstructured":"Schmalzried TP, Amstutz HC, Dorey FJ. Nerve palsy associated with total hip replacement. Risk factors and prognosis. J Bone Joint Surg Am 1991; 73 (7) : 1074-80.","journal-title":"J. Bone Joint Surg. Am."},{"key":"ref4","first-page":"CD003828","volume":"19","author":"Jolles B.M.","year":"2006","unstructured":"Jolles BM, Bogoch ER. Posterior versus lateral surgical approach for total hip arthroplasty in adults with osteoarthritis. Cochrane Database Syst Rev 2006; 19 (3) : CD003828.","journal-title":"Cochrane Database Syst. Rev."},{"key":"ref5","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1007\/s002640050107","volume":"21","author":"Oldenburg M.","year":"1997","unstructured":"Oldenburg M, M\u00fcller RT. The frequency, prognosis and significance of nerve injuries in total hip arthroplasty. Int Orthop 1997; 21 (1) : 1-3.","journal-title":"Int. Orthop."},{"key":"ref6","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1016\/S0883-5403(06)80057-4","volume":"10","author":"Navarro R.A.","year":"1995","unstructured":"Navarro RA, Schmalzried TP, Amstutz HC, Dorey FJ. Surgical approach and nerve palsy in total hip arthroplasty. J Arthroplasty 1995; 10 (1) : 1-5.","journal-title":"J. Arthroplasty"},{"key":"ref7","first-page":"214","author":"Johanson N.A.","year":"1983","unstructured":"Johanson NA, Pellicci PM, Tsairis P, Salvati EA. Nerve injury in total hip arthroplasty. Clin Orthop Relat Res 1983; (179): 214-22.","journal-title":"Clin. Orthop. Relat. Res."},{"key":"ref8","first-page":"165","author":"Nercessian O.A.","year":"1994","unstructured":"Nercessian OA, Piccoluga F, Eftekhar NS. Postoperative sciatic and femoral nerve palsy with reference to leg lengthening and medialization\/lateralization of the hip joint following total hip arthroplasty. Clin Orthop Relat Res 1994; (304): 165-71.","journal-title":"Clin. Orthop. Relat. Res."},{"key":"ref9","doi-asserted-by":"publisher","first-page":"843","DOI":"10.1302\/0301-620X.81B5.9610","volume":"81","author":"Eggli S.","year":"1999","unstructured":"Eggli S, Hankemayer S, M\u00fcller ME. Nerve palsy after leg lengthening in total replacement arthroplasty for developmental dysplasia of the hip. J Bone Joint Surg Br 1999; 81 (5) : 843-5.","journal-title":"J. Bone Joint Surg. Br."},{"key":"ref10","doi-asserted-by":"publisher","unstructured":"Schmalziried TP, Noordin S, Amustutz HC. Update on nerve palsy associated with total hip replacement 1997.","DOI":"10.1097\/00003086-199711000-00020"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"329","DOI":"10.1054\/arth.2003.50055","volume":"18","author":"Satcher R.L.","year":"2003","unstructured":"Satcher RL, Noss RS, Yingling CD, Ressler J, Ries M. The use of motor-evoked potentials to monitor sciatic nerve status during revision total hip arthroplasty. J Arthroplasty 2003; 18 (3) : 329-32.","journal-title":"J. Arthroplasty"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"2619","DOI":"10.2106\/JBJS.C.01564","volume":"87","author":"Farrell C.M.","year":"2005","unstructured":"Farrell CM, Springer BD, Haidukewych GJ, Morrey BF. Motor nerve palsy following primary total hip arthroplasty. J Bone Joint Surg Am 2005; 87 (12) : 2619-25.","journal-title":"J. Bone Joint Surg. Am."},{"key":"ref13","doi-asserted-by":"publisher","first-page":"173","DOI":"10.1007\/s00264-010-1075-8","volume":"35","author":"Smith T.O.","year":"2011","unstructured":"Smith TO, Blake V, Hing CB. Minimally invasive versus conventional exposure for total hip arthroplasty: A systematic review and meta-analysis of clinical and radiological outcomes. Int Orthop 2011; 35 (2) : 173-84.","journal-title":"Int. Orthop."},{"key":"ref14","doi-asserted-by":"publisher","first-page":"589","DOI":"10.2106\/00004623-200104000-00017","volume":"83-A","author":"Mihalko W.M.","year":"2001","unstructured":"Mihalko WM, Phillips MJ, Krackow KA. Acute sciatic and femoral neuritis following total hip arthroplasty. A case report. J Bone Joint Surg Am 2001; 83-A (4) : 589-92.","journal-title":"J. Bone Joint Surg. Am."},{"key":"ref15","doi-asserted-by":"crossref","first-page":"1172","DOI":"10.1097\/ALN.0b013e3182326c20","volume":"115","author":"Jacob A.K.","year":"2011","unstructured":"Jacob AK, Mantilla CB, Sviggum HP, Schroeder DR, Pagnano MW, Hebl JR. Perioperative nerve injury after total hip arthroplasty: Regional anesthesia risk during a 20-year cohort study. Anesthesiology 2011; 115 (6) : 1172-8.","journal-title":"Anesthesiology"},{"key":"ref16","first-page":"136","author":"Edwards B.N.","year":"1987","unstructured":"Edwards BN, Tullos HS, Noble PC. Contributory factors and etiology of sciatic nerve palsy in total hip arthroplasty. Clin Orthop Relat Res 1987; (218): 136-41.","journal-title":"Clin. Orthop. Relat. Res."},{"key":"ref17","doi-asserted-by":"publisher","first-page":"104","DOI":"10.1016\/j.arth.2004.02.013","volume":"19","author":"Barrack R.L.","year":"2004","unstructured":"Barrack RL. Neurovascular injury: Avoiding catastrophe. J Arthroplasty 2004; 19 (4) (Suppl. 1) : 104-7.","journal-title":"J. Arthroplasty"},{"key":"ref18","doi-asserted-by":"publisher","first-page":"1477","DOI":"10.1007\/s00402-014-2038-0","volume":"134","author":"Zappe B.","year":"2014","unstructured":"Zappe B, Glauser PM, Majewski M, St\u00f6ckli HR, Ochsner PE. Long-term prognosis of nerve palsy after total hip arthroplasty: Results of two-year-follow-ups and long-term results after a mean time of 8 years. Arch Orthop Trauma Surg 2014; 134 (10) : 1477-82.","journal-title":"Arch. Orthop. Trauma Surg."},{"key":"ref19","doi-asserted-by":"publisher","first-page":"2619","DOI":"10.2106\/JBJS.C.01564","volume":"87","author":"Farrell C.M.","year":"2005","unstructured":"Farrell CM, Springer BD, Haidukewych GJ, Morrey BF. Motor nerve palsy following primary total hip arthroplasty. J Bone Joint Surg Am 2005; 87 (12) : 2619-25.","journal-title":"J. Bone Joint Surg. Am."},{"key":"ref20","doi-asserted-by":"publisher","first-page":"14","DOI":"10.1186\/1471-2482-15-14","volume":"15","author":"Liu R.","year":"2015","unstructured":"Liu R, Liang J, Wang K, Dang X, Bai C. Sciatic nerve course in adult patients with unilateral developmental dysplasia of the hip: Implications for hip surgery. BMC Surg 2015; 15 : 14.","journal-title":"BMC Surg."},{"key":"ref21","doi-asserted-by":"publisher","first-page":"134","DOI":"10.2174\/1874325001105010134","volume":"5","author":"Nagamine S.","year":"2011","unstructured":"Nagamine S, Sonohata M, Kitajima M, et al. Seasonal trends in the incidence of hip osteoarthritis in Japanese patients. Open Orthop J 2011; 5 : 134-7.","journal-title":"Open Orthop. J."},{"key":"ref22","doi-asserted-by":"publisher","first-page":"626","DOI":"10.1007\/s00776-010-1507-8","volume":"15","author":"Jingushi S.","year":"2010","unstructured":"Jingushi S, Ohfuji S, Sofue M, et al. Multiinstitutional epidemiological study regarding osteoarthritis of the hip in Japan. J Orthop Sci 2010; 15 (5) : 626-31.","journal-title":"J. Orthop. Sci."},{"key":"ref23","doi-asserted-by":"publisher","first-page":"785","DOI":"10.2174\/1874325001610010785","volume":"10","author":"Sonohata M.","year":"2016","unstructured":"Sonohata M, Kitajima M, Kawano S, Mawatari M. Nerve Palsy after total hip arthroplasty without subtrochanteric femoral shortening osteotomy for a completely dislocated hip joint. Open Orthop J 2016; 10 : 785-92.","journal-title":"Open Orthop. J."},{"key":"ref24","doi-asserted-by":"publisher","first-page":"382","DOI":"10.1007\/s00776-012-0240-x","volume":"17","author":"Sonohata M.","year":"2012","unstructured":"Sonohata M, Tajima T, Kitajima M, et al. Total hip arthroplasty combined with double-chevron subtrochanteric osteotomy. J Orthop Sci 2012; 17 (4) : 382-9.","journal-title":"J. Orthop. Sci."}],"container-title":["The Open Orthopaedics Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/openorthopaedicsjournal.com\/contents\/volumes\/V12\/TOORTHJ-12-164\/TOORTHJ-12-164.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/openorthopaedicsjournal.com\/contents\/volumes\/V12\/TOORTHJ-12-164\/TOORTHJ-12-164.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/openorthopaedicsjournal.com\/contents\/volumes\/V12\/TOORTHJ-12-164\/TOORTHJ-12-164.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,11,1]],"date-time":"2020-11-01T04:44:21Z","timestamp":1604205861000},"score":1,"resource":{"primary":{"URL":"https:\/\/openorthopaedicsjournal.com\/VOLUME\/12\/PAGE\/164\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,4,23]]},"references-count":24,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2018,4,23]]}},"alternative-id":["TOORTHJ-12-164"],"URL":"https:\/\/doi.org\/10.2174\/1874325001812010164","relation":{},"ISSN":["1874-3250"],"issn-type":[{"value":"1874-3250","type":"print"}],"subject":[],"published":{"date-parts":[[2018,4,23]]},"assertion":[{"value":"Peer Reviewed","order":0,"name":"review_status","label":"Review Status","group":{"name":"peer_review_details","label":"Peer Review Details"}},{"value":"Single blind","order":1,"name":"review_process","label":"Review Process","group":{"name":"peer_review_details","label":"Peer Review Details"}},{"value":"Checked with iThenticate","order":0,"name":"screening_status","label":"Screening Status","group":{"name":"plagiarism_screening","label":"Plagiarism Screening"}},{"value":"2018-2-9","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-3-17","order":1,"name":"revised","label":"Revised","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-3-28","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-04-23","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}