There is neither a temporary nor sustainable alternative to native neurological function as there is with other organs. It is important to recognize the surgical patients that are at highest risk for neurological complications and mitigate risk in the perioperative period based on current guidelines and clinical judgement.
This article works as a quick checklist on neurological complications of orthopedic surgery. HIP ARTHROPLASTY Direct nerve injury Sciatic nerve palsy commonest Common peroneal nerve Deep peroneal nerve (isolated)4α Superior gluteal Obturator Femoral nerves Risk factors Developmental dysplasia of the hip Length lengthening Female sex Posttraumatic arthritis Revision surgery Surgical inexperience Use of a posterior approach Cementless femoral fixation KNEE ARTHROPLASTY Peripheral nerve damage Possible but unconfirmed risk factors Valgus deformity Flexion contracture…
