The nervous system exemplifies the highest level of anatomic and physiologic development. It serves to simultaneously choreograph complex musculoskeletal movements, while receiving, deciphering, and transmitting efferent sensory stimuli. Neurologic complications associated with revision total hip arthroplasty are rare occurrences. Their periodic appearance provide dramatic evidence of the serious dysfunction that severely compromises the outcome of total hip arthroplasty. As orthopedic surgeons, we are trained to isolate, protect, and avoid nerves during all surgical procedures, demonstrating great reverence for their fragility and functional significance. Appropriate attention to anatomic detail, awareness of risk factors associated with revision arthroplasty, and avoidance of inappropriate mechanical and postural maneuvers all serve to limit the neurologic complications associated with revision hip arthroplasty. An understanding of neurophysiology and neurodiagnostic technique allow for prompt recognition of neurologic complications and may serve to limit the severity and impact.
KeywordsPermeability Migration Arthritis Starch Ischemia
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