A recent study was published regarding the risk of sciatic nerve traction injury in the Journal of Bone and

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Joint Surgery:

Risk of Sciatic Nerve Traction Injury During Hip Arthroscopy—Is It the Amount or Duration?: An Intraoperative Nerve Monitoring Study

Background:
Using intraoperative nerve monitoring we prospectively studied the prevalence, pattern, and predisposing factors for sciatic nerve traction injury during hip arthroscopy.

Results:

Of sixty patients (thirty-one female and twenty-nine male, with a mean age of thirty-seven years [range, sixteen to

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sixty-one years]), thirty-five (58%) had intraoperative nerve dysfunction and four (7%) sustained a clinical nerve injury. The average maximum traction weight (and standard deviation) for patients who did and those who did not have nerve dysfunction or injury was 38.1 ± 7.8 kg (range, 22.7 to 56.7 kg) and 32.9 ± 7.9 kg (range, 22.7 to 45.4 kg), respectively. The odds of a nerve event increased 4% with every 0.45-kg (1-lb) increase in the traction amount (age/sex-adjusted; p = 0.043; odds ratio, 1.04; 95% confidence interval, 1.01 to 1.08). The average total traction time for patients who did and those who did not have nerve dysfunction was 95.9 ± 41.9 minutes (range, forty-two to 240 minutes) and 82.3 ± 35.4 minutes (range, thirty-eight to 160 minutes), respectively, and an increase in traction time did not increase the odds of a nerve event (p = 0.201). Age and sex were not significant risk factors.

Read the study here: jbjs.org/article.aspx?articleid=1375179


To find more information about Hip Arthroscopy, see our website at www.HipArthroscopyDoctor.com

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