Femoral nerve neuropathy after total hip arthroplasty is rare but catastrophic complication. The incidence rate ranges from 0.1 to 2.4% in primary hip arthroplasty . Pain and quadriceps muscle weakness caused by this complication can significantly affect the functional outcome.
Can hip replacement cause nerve damage?
Nerve injury is a relatively rare, yet potentially devastating complication of total hip arthroplasty (THA). Incidence of this ranges from 0.6 to 3.7%, and is highest in patients with developmental hip dysplasia and previous hip surgery.
Can hip surgery cause neuropathy?
A recent article links some nerve damage after hip surgery to inflammatory neuropathy. Historically, nerve damage from hip surgery has been attributed to mechanical factors caused by anesthesiologists or surgeons, such as positioning of the patient during surgery or direct surgical injury of the nerves.
What main nerve can be affected by a hip replacement?
Nerve palsy after total hip arthroplasty (THA) is a devastating complication to both the patient and the surgeon because it is unexpected and debilitating. The most common nerve to be affected is the sciatic nerve, which is involved in over 90% of cases, followed by the femoral nerve.
What does nerve damage after hip replacement feel like?
Patients with neuropathy often experience numbness, tingling, pain and weakness that starts in their feet and moves upward. Neuropathy described in this study is isolated to the limb where the hip surgery occurred — often affecting the sciatic nerve that runs down the leg and controls strength and sensation.
Why do my feet hurt after hip replacement?
Peroneal nerve damage (foot drop) associated with hip replacement surgery is a serious disorder suffered by tens of thousands of individuals. The damage usually involves injury to the sciatic nerve arising from a complication occurring during or after hip implant surgery.
Why is my hip replacement hurting?
As an implant loosens, it tends to rub against the bone. And that can cause bone loss, making the joint more difficult to repair. The pain also could be a result of hip flexor tendinitis, also known as psoas tendinitis.
Can you sue for nerve damage after hip replacement?
If your nerve damage was caused by a botched or failed surgery, you may be able to file a medical malpractice lawsuit. Oftentimes nerve problems after surgery resolve on their own, but sometimes the damage is more severe and will cause lifelong issues.
How long does it take for soft tissue to heal after hip replacement?
In general, most surgeons prefer that you avoid certain positions of the hip that can increase your risk of dislocation of the hip for about 6 weeks following surgery. After 6 weeks the soft tissues involved in the surgery have healed and restrictions are often lifted allowing more vigorous activity.
Why does my whole leg hurt after hip replacement?
You can expect to experience some discomfort in the hip region itself, as well as groin pain and thigh pain. This is normal as your body adjusts to changes made to joints in that area. There can also be pain in the thigh and knee that is typically associated with a change in the length of your leg.
Can a hip replacement last 30 years?
Studies suggest that 90 percent of knee and hip replacements still function well 10 to 15 years after they’re implanted, but recent joint replacement innovations may make them last even longer.
Why do I still have pain 6 months after hip replacement?
Pain related to hip surgery can be caused by problems with the implant, changes to the hip or thigh bones, or injuries to nerves or soft tissue around the surgical site. If pain returns or worsens in the weeks and months following surgery, it can be a sign of serious complications and you should let your doctor know.
What are the symptoms of femoral nerve damage?
- Sensation changes in the thigh, knee, or leg, such as decreased sensation, numbness, tingling, burning, or pain.
- Weakness of the knee or leg, including difficulty going up and down stairs — especially down, with a feeling of the knee giving way or buckling.
How long does nerve pain last after hip replacement?
As you continue physical therapy, your pain levels should slowly decrease to about 1 or 2 in 12 weeks after the hip replacement.