![]() ![]() ![]() In some cases, it may be due to a retraction injury, especially with an anterior or anterolateral approach. The mechanism of injury to the femoral nerve during THA is not always clear. While sciatic neuropathy remains the most common perioperative neuropathy associated with THA, it is now followed by femoral neuropathy. In addition, there are increasing reports of femoral neuropathy occurring as a complication of total hip arthroplasty (THA), especially in THA revision surgery. ![]() Most often implicated are self-retaining surgical retractors that are used in many pelvic and abdominal operations that compress the femoral nerve against the pelvis. There are many reported etiologies of femoral neuropathy, although most cases result from positioning or compression during abdominal or pelvic surgery ( Box 26.1). Preston MD, in Electromyography and Neuromuscular Disorders, 2021 Etiology ![]()
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