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- W2176752208 abstract "To The Editor: In the Instructional Course Lecture “Neurovascular Injury Associated with Hip Arthroplasty” (79-A: 1870–1880, Dec. 1997), Lewallen stated that “the type of operative approach used … has not been shown to influence the observed rates of nerve palsy.” However, he then stated that “the sciatic nerve is more at risk [of direct injury] during the posterior approach.” Lewallen cited two references3,4 in support of this contention. In fact, Johanson et al.3 reported that the prevalence of neural injury decreased from 0.6 percent to 0.3 percent in the latter half of their study, when their practice changed from the use of a transtrochanteric approach to the use of a posterior approach. The authors thought that this decrease in neural injury reflected “the improvement of technical factors unrelated to the approach.” Evidence of the implausibility of this explanation is provided by Robinson et al.9, who had reviewed the same group of patients three years earlier. Interestingly, Robinson et al. emphasized that the results for the posterior approach represented their early experience. They reported no neurological complications in the 160 …" @default.
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- W2176752208 date "2000-03-01" @default.
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- W2176752208 title "Neurovascular Injury in Hip Arthroplasty" @default.
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- W2176752208 doi "https://doi.org/10.2106/00004623-200003000-00021" @default.
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