Anterior hip replacement was done in France way back in 1947. Nerve damage after hip surgery may be due to inflammation Date: May 5, 2014 Source: Mayo Clinic Summary: A recent article links some nerve damage after hip surgery to inflammatory neuropathy. After entering the femoral triangle laterally, the femoral nerve divides into several terminal motor branches to the anterior thigh muscles: pectineus, sartorius, illiacus and quadraceps femoris. The interest level has been so high its humbling” said Danny Metcalf from Microport. After entering the femoral triangle laterally, the femoral nerve divides into several terminal motor branches to the anterior thigh muscles: pectineus, sartorius, illiacus and quadraceps femoris. [7] hypothesized that anterior retractors placed around the acetabulum were responsible for subclinical damage to the femoral nerve. Sharp Pain in the Back of Surgical Calf. Think of the “hip abduction” equipment at the gym. That means the incision can be placed more in the groin area. I have since had it re-ultrasounded to look for fluid build-up and x-rays of my right leg and back. Dislocation rate is low, but not zero with this technique. Anterior approach, first few months went well but now I’m experiencing a burning and tingling feeling at the incision sight to the middle of the thigh. Question: Have started to have increased numbness and tingling in my toes. Hi I have just had both hips replaced. Had Hip replacement two years ago. Speak to your surgeon or health care practitioner if your numbness rem… Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. Think of the “hip abduction” equipment at the gym. He is a postal worker and has noticed the thigh … Shortly after returning home from the hospital, I started having tingling, numbness and a burning sensation in my right thigh. With the help of an X-ray and some related lab tests, the exact problem will be ascertained soon enough. How Much Does Minimally Invasive And Robotic Hip Replacement Surgery Cost? Re-innervation activity in the quadriceps by EMG. The implants used in hip replacements are made to resist corrosion and wear. In the literature, the prevalence of motor nerve palsy after anterior THA has been reported to range from 0.3 to 3.7%, and from 0.1 to 0.4% for the femoral nerve specifically [4, 5]. Merits of direct anterior approach, also known as anterior iliofemoral or Smith-Peterson, or the modification to the Hueter approach for THA include dissection through inter-nervous planes and avoidance of disruption of abductor mechanisms [2]. In doing so, the surgeon sometimes needs to correct leg length discrepancies which may be present prior to the surgery. A painful, burning sensation on the outer side of the thigh may mean that one of the large sensory nerves to your legs—the lateral femoral cutaneous nerve (LFCN)—is being compressed. Fitted with transcutaneous electrical nerve stimulators (TENS) unit. These include various deformities of the femoral neck. A physician cites three possible causes of knee pain following hip replacement surgery. We aim to discuss anatomic considerations, risk factors, and a timeline of severity and recovery for femoral nerve palsy following direct anterior THA in six patients. Why does my thigh hurt after surgery? consultancies, stock ownership, equity interest, patent/licensing arrangements) that might pose a conflict of interest in connection with the submitted article. Pain after hip replacement is more common than you think. Able to perform single left leg squat. Since reducing the risk of dislocation is one of the main goals of the anterior approach, your surgeon will do anything he can to lower that risk. A video of the lab is shown here: The results were exciting. Significant nerve damage, which may cause loss of muscle function, can occur after hip replacement. Cartilage is a tissue that helps joints move. Read below to learn 9 possible causes of thigh numbness, treatment, and more. Hip replacement surgery involves removing the hip joint and replacing it with an artificial joint that typically consists of metal, ceramic and hard plastic. Sensory: 6-wk: Distal anterior thigh deficit. The skin nerves that run to the outside of the thigh are right in the way of the traditional incision for anterior hip replacement. Hi I have just had both hips replaced. Johanson NA, Pellicci PM, Tsairis P, Salvati EA. This numbness, which is called neuropathy, is frequently reported after hip replacements. Femoral nerve palsy can be a difficult problem for patients with symptoms including hypoesthesia, painful paresthesias or paralysis. As the femoral nerve passes distal to the inguinal ligament, it is in close proximity to the anterior wall of the acetabulum, traveling on average 1.8–2.2 cm from the anterior lip [3, 8]. Have Coronary Artery Disease. The success has been remarkable. 11-mo: Normal gait with active and full leg extension. For full access to this pdf, sign in to an existing account, or purchase an annual subscription. 4+/5 quadriceps strength. The hip joint is where the top of your femur (thigh bone) sits in the socket of your pelvic bone. I was able to walk without any support about a week after surgery. The proposed etiology for neuropathy after THA includes direct trauma, excessive tension during extremity lengthening, direct contact with methylmethacrylate or the heat of its polymerization, constriction by wire fixation, femoral component dislocation, ischemia, and compression; however, in most patients the actual cause has not been determined [1, 4, 6]. Diminished patellar DTR. I had a total left hip replacement 11/23/09. I did physical therapy for four weeks after and even my therapist said I was healing very quickly and my progress was great but not normal. If the irritation or damage is severe enough, leg muscle control of the affected leg will be compromised, which can cause a limp. This condition is known as meralgia paresthetica (me-ral'-gee-a par-es-thet'-i-ka). However, the surgeon also needs to avoid creating a leg length discrepancy as a result of the surgery. The hip joint is where the top of your femur (thigh bone) sits in the socket of your pelvic bone. It is common for patients to have a small area of numbness over the thigh after Anterior Approach hip replacement. All patients underwent a DAA THA complicated by immediate post-operative femoral nerve palsy. The company hopes to eliminate both numbness and weakness after anterior hip replacement and make the surgery easier for your surgeon to perform by moving the incision to a better location. After undergoing total hip replacement surgery 2 years earlier, a 65-year-old man comes to the office complaining of left thigh pain. The saphenous nerve runs anteroinferiorly to supply the skin and fascia on the anteromedial aspects of the knee, leg and foot [1]. Hip impingement can result in pain after hip replacement surgery. This typically improves gradually over the first several months. Weale et al. “A small retrospective study examined 13 patients who’d had hip replacement,” continues Dr. Peck. Top of hip feels tight most days and side is numb. The leading causes may be loosening of the hip replacement prosthesis. the nerve crosses very close to the hip joint and it is not unheard of for there to be some compromise of the nerve during the surgery. In fact, sometimes, the pain you experience is even worse than what you were experiencing before undergoing the surgery. Misplacement of the retractor either superficial to the iliopsoas or through its muscle bulk at the pelvic brim could result in the retractor tip lying over the femoral nerve [3]. We aim to discuss anatomic considerations, risk factors for nerve palsy and a timeline of severity and recovery for femoral nerve palsy following direct anterior THA in six patients. The pain in itself is merely a symptom of a larger problem, and it is important to get to the bottom of the thigh pain … Numbness in the foot after total hip arthroplasty could be secondary to either stretching or compression of the sciatic nerve. 1. Treating Hip Pain, Leg Pain, Leg Numbness, and Leg Tingling in Chicago. Femoral nerve injury is a rare, yet serious complication following the anterior approach for THA. Ryan S Patton, Robert P Runner, David Lazarus, Thomas L Bradbury, Femoral neuropathy following direct anterior total hip arthroplasty: an anatomic review and case series, Journal of Surgical Case Reports, Volume 2018, Issue 9, September 2018, rjy171, https://doi.org/10.1093/jscr/rjy171. You might also hear it called Bernhardt-Roth syndrome. Directly after surgery to my left hip in January while I was still in the hospital I had very severe shooting pains on my right thigh. Investigation performed at Emory University Department of Orthopaedics. Six (0.34%) of these patients were found to have a post-operative femoral nerve palsy. If the hip is felt to be too loose, or unstable and prone to hip dislocation , your surgeon may elect to place larger or longer implants in the joint. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (, A retroperitoneal mass presenting as acute scrotum: a rare presentation and review of the literature, Insidious presentation of intussusception with appendicitis, Infected port-a-cath leading to subpectoral and sterno-manubrial abscess, Calcifying fibrous tumour—a rare cause of anaemia, Bilateral traumatic distal femoral transphyseal fracture in a 9-year-old male, Volume 2021, Issue 01, January 2021 (In Progress), http://creativecommons.org/licenses/by-nc/4.0/, Receive exclusive offers and updates from Oxford Academic, Advantages and disadvantages of 3D printing for pre-operative planning of revision hip surgery, Cementless bipolar hemiarthroplasty in a patient with PMF: a case report, Transient femoral nerve neuropathy secondary to haematoma after medial thigh lift, Diagnosis of human immunodeficiency virus following femoral head harvest post-total hip arthroplasty. Preoperative radiographs are exhibited in Fig. Sensory: 9-mo: Numbness from mid-thigh to knee. Leg length discrepancy. First was July 19, 2015 right side. 9-mo: 5−/5 quadriceps strength. “Knee pain after hip surgery is a poorly-understood phenomenon,” says Devin B. Peck, MD, owner of Austin Interventional Pain in Austin, TX. 3-wk: 4−/5 quadriceps strength. If the irritation or damage is severe enough, leg muscle control of the affected leg will be compromised, which can cause a limp. All six of our patients had multiple, large, anterior osteophytes as evidenced by preoperative radiographs in Fig. 1 in 4 patients experiences back pain after a hip replacement but to various degrees. After surgery, anesthesia can result in temporary numbness, especially if a nerve block was performed. “Microport had a session on November 7th in Dallas. Needless to say, pain after hip replacement surgery will vary depending on every patient’s pain tolerance. Meralgia paresthetica is a condition that causes numbness, pain, or a burning feeling in your outer thigh. A physician cites three possible causes of knee pain following hip replacement surgery. And risks are things we want to eliminate or at least minimize when having surgery. 3  In fact, for some procedures this numbness lasting for hours or a day after surgery is a blessing: you don’t feel pain where you are numb. Motor: 6-wk: No active quadriceps function. I have since had it re-ultrasounded to look for fluid build-up and x-rays of my right leg and back. 1, which we believe may have contributed to difficulty attaining or maintaining direct contact between the anterior retractor and the wall of the anterior acetabulum, putting the femoral nerve at risk. For most people who undergo the surgery, hip replacement successfully relieves hip pain and restores hip function. Motor: 6-wk: Presented in wheelchair with no active quadriceps function. Motor:1-wk: No active quadriceps function. Swelling after a hip replacement: what’s normal–and what’s not. It was a bad time, before the meeting really started, and we had 150 surgeons show up. Sharp Pain in the Back of Surgical Calf. Great things are happening, people. The skin nerves that run to the outside of the thigh are right in the way of the traditional incision for anterior hip replacement. Swelling after a hip replacement: what’s normal–and what’s not. It was also a burning sensation and numbness. In a 2005 study of 27 004 primary THA, Farrell [4] reported 47 cases of motor nerve palsy with only 17 patients (36%) attaining complete recovery of motor strength, which took an average of 21.1 months. “Knee pain after hip surgery is a poorly-understood phenomenon,” says Devin B. Peck, MD, owner of Austin Interventional Pain in Austin, TX. Shortly after returning home from the hospital, I started having tingling, numbness and a burning sensation in my right thigh. Many times nerve issues after surgery are temporary, for example, many patients have nerve problems after surgery that only last for a few weeks to months (2,3). Hip replacements are becoming more common at younger ages, as people are staying active longer. It was also a burning sensation and numbness. Despite a relatively low incidence, femoral neuropathy following primary THA presents significant morbidity. You may also experience some numbness in the vicinity of the wound incision. Dislocation allows the ball to be cut off easily. The anterior supine approach for total hip arthroplasty (THA) offers the advantage of operating through a true intravascular and intranervous plane, but it places the lateral femoral cutaneous nerve at risk. Exactly how the hip replacement implants are placed, and the size of the implants will determine the length of the leg after surgery. Age 68. The joint is held together by ligaments and muscles. The popularity of the direct anterior approach for total hip arthroplasty (THA) has dramatically increased in recent years. We encourage exercising caution in the placement of acetabular retractors during anterior THA to avoid femoral nerve compression. It went from my belt line down to my knee. Correspondence address. 1 in 4 patients experiences back pain after a hip replacement but to various degrees. Posted on: Dec 4 2017 By: admin Leave a reponse; If you are new to the world of hip replacement surgeries, you might have some questions and concerns about what happens after the procedure takes place.Before your surgery, we will do our best to communicate what you should expect, as well … And these people often want to know which exercises are safe and which are exercises to avoid after hip replacement. We have very low rates of infection with our joint replacement surgeries. Cartilage is a tissue that helps joints move. The top of your femur is shaped like a ball and covered with cartilage. With the new total hip replacement method being developed by Microport, numbness after hip surgery may be a thing of the past. In extreme cases, a fresh surgery may be necessary to get rid of this extra pain. In such a situation the patient may present with pain in the shaft area Secondary infection following the implant may also be another cause of pain. This one can be tricky to pick out. Enter Microport. Nerve, arterial and blood vessel damage, particularly in minimally invasive total hip replacement procedures, can occur, according to the American Academy of Orthopaedic Surgeons. 3-mo: Good hip flexor and abductor strength. Surgeons can easily cut these nerves when performing the procedure. After entering the femoral triangle laterally, the femoral nerve divides into several terminal motor branches to the anterior thigh muscles: pectineus, sartorius, illiacus and quadraceps femoris. With the new total hip replacement method being developed by Microport, numbness after hip surgery may be a thing of the past. Have also started to have some tenderness in my hip which has bothered me at all since the replacement. Studies show that about 10% of the people who undergo total hip replacement experience pain afterwards and require further treatment for their condition. Numbness after total right hip replacement Total hip replacement 'revision' severe pain and limited foot mobility after hip replacement Pain in the buttock after hip replacement surgery! You sit in it and abduct your hips to move your thighs away from each other. With only the iliopsoas between the anterior capsule and the femoral nerve, any retractor misplacement or repositioning places the nerve at risk of compression directly or by proxy if the retractor is placed through the iliopsoas bulk. Depending on how the surgywas done it can be from 2 to 15% of patients that experience numbness. © The Author(s) 2018. In October I came down with chronic hives and a B6 toxicity and diagnosed with Hashimoto. The legacy skin incision for anterior hip replacement was selected to make it easy for your surgeon to see the cup of the hip. Lower risk of cutting the sensory nerves and causing thigh numbness, Moves the procedure away from the femoral nerve that makes the already low chance of weakness even lower, Reduces retraction during surgery, which means less pain and quicker healing, A more natural incision means fewer wound complications, 2525 E. Arizona Biltmore Circle, Phoenix AZ. The good news is that in the vast majority of patients who perceive this, the difference decreases with time and most no longer feel, or at least complain about it six months post-operatively. Thigh Pain after Hip Replacement: Anterior Thigh Pain past Hip Surgery Thigh Pain after Hip Replacement Hip replacement surgery is considered to be one of the most successful and effective treatments for management of thigh pain, with an effectiveness of almost 90 %. But now we know that this weakness may be attributed to an inflammatory issue, and it’s important that physicians look for this cause, too,” says Dr. Staff. Naturally, if you’ve … The purpose of this study was to identify the incidence of … Each author certifies that he or she has no commercial associations (e.g. However, the surgeon also needs to avoid creating a leg length discrepancy as a result of the surgery. Needless to say, pain after hip replacement surgery will vary depending on every patient’s pain tolerance. Background: Direct anterior total hip arthroplasty (THA) is an increasingly utilized and patient-requested approach for arthroplasty carrying a unique set of complications. Davis ET, Gallie PA, James SL, Waddell JP, Schemitsch EH. During a 7-year period from 2008 to 2016, 1756 consecutive patients underwent primary THA via a direct anterior Hueter approach in a single center by a single surgeon to correct end-stage osteoarthritis. 13-mo: 5−/5 quadriceps strength and minimal comparative VMO atrophy. 12-mo: 5−/5 quadriceps strength. “After hip replacement, retraining of the muscles of the thigh is necessary, but may result in soreness,” says Dr. Peck. Rehabilitative exercises are important following any surgery, but it is especially critical after a hip replacement. How long is the recovery? In doing so, the surgeon sometimes needs to correct leg length discrepancies which may be present prior to the surgery. Sitemap | Privacy Policy | Blog. Post-Surgical Inflammatory Neuropathy: An Underappreciated but Critical and Treatable Cause of Postoperative Neuropathy. “We know new or worsened weakness after hip surgery can be attributed to surgical factors, such as stretching, compression, contusion, hematoma or even transection of the nerve. During the direct anterior approach (DAA) for total hip arthroplasty (THA), the tensor fascia is incised, and a deep dissection is made through the inter-nervous interval between the rectus femoris (femoral n.) and the gluteus medius (superior gluteal n.) [2, 3]. Marty is ready to return to pony cart racing after SuperPATH total hip replacement surgery. The anterior supine approach for total hip arthroplasty (THA) offers the advantage of operating through a true intravascular and intranervous plane, but it places the lateral femoral cutaneous nerve at risk. After undergoing total hip replacement surgery 2 years earlier, a 65-year-old man comes to the office complaining of left thigh pain. With the new total hip replacement method being developed by Microport, numbness after hip surgery may be a thing of the past. 7-mo: Good hip flexor and abductor strength with 3/5 quadriceps strength. During hip replacement surgery, the nerves in the leg, including the sciatic nerve, can sometimes be stretched or damaged. There are several causes associated with anterior thigh pain after hip replacement. I had total left hip replacement in May of 2019. Fox AJ, Bed A, Wanivenhaus F, Sulco TP, Fox JS. Weale AE, Newman P, Fergusson IT, Bannister GC. There are several advantages to moving the incision: The new Microport approach has other advantages. Unfortunately, experiencing a leg length difference after hip replacement is a known complication. 8-mo: 4+/5 quadriceps strength. Injury to the lateral femoral cutaneous nerve (LFCN) can have a wide range of clinical symptoms ranging from hypesthesia to painful paresthesia. The sciatic nerve is the large nerve that controls motor and sensory function in her lower extremity. 6-wk: Good hip flexor and abductor strength with 5/5 quadriceps strength. Marty is ready to get back to the races after SuperPATH minimally invasive hip replacement surgery. Surgeons are taking notice. In addition to a blood thinner, we also emphasize early mobility and working on strengthening exercises. How Does Conversion Total Hip Arthroplasty Compare to Primary? It is common to experience thigh soreness, swelling, and/or bruising. 3-mo: Ambulating with cane. A number of factors may be preventing you from getting the best results after … Why does my thigh hurt after surgery? Performed single left leg squat. Directly after surgery to my left hip in January while I was still in the hospital I had very severe shooting pains on my right thigh. Corrected with stent. 13-mo: Persistent diminished sensation. The numbness in your thigh should not affect your gait or walking because the lateral femoral cutaneous nerve is a pure sensory nerve that only provides innervation related to sensation and feeling. The goals of total hip replacement (THR) are to relieve pain and correct the functional deficit. It is not necessarily abnormal to have numbness in your foot after hip replacement surgery. A Prospective, Randomized Comparison of the Long-Term Clinical and Radiographic Results of an Ultra-Short vs a Conventional Length Cementless Anatomic Femoral Stem. Researchers report the risk is usually less than 1%, but in some series, it has been as high as 3.5%. The femoral nerve, which is critical to walking, can be stretched during anterior hip replacement surgery. In most cases, sensation returns when patients engage in a light exercise plan to rebuild the strength of the new hip and regain range of motion. Anterior hip replacement (AHR) is surgery to replace a hip joint damaged by wear, injury, or disease. Numbness in the thigh ranges in severity and causes can be mechanical, metabolic, inflammatory, or iatrogenic. Have you ever heard of anyone who woke up from anterior hip replacement surgery with numbness on the outside of their thigh? For some, it’ll be a two on the pain scale; others might be in more discomfort. It also sends sensory articular branches to the hip and knee joints and provides cutaneous innervation to the anteromedial thigh, terminating as the saphenous nerve. 9-mo: Excellent rotational ROM with 4+/5 quadriceps strength and minimal comparative VMO atrophy. While there is no hard evidence that this is the case, many surgeons believe that dislocating the ball during surgery increases the risk of dislocation after surgery. After surgery, anesthesia can result in temporary numbness, especially if a nerve block was performed. Have you ever heard of anyone who woke up from anterior hip replacement surgery with numbness on the outside of their thigh? It happens more often than you would think. Have you ever heard of anyone who woke up from anterior hip replacement surgery with numbness on the outside of their thigh? Leg length discrepancy. Sensory: 2-wk: Distal anterior thigh deficit. Some numbness surrounding the incision and upper thigh is expected after anterior approach hip replacement. Hip impingement occurs when the normally smooth motion of the ball joint in the socket is interrupted, or the smoothness of the motion is impaired. No active knee extension. 6-mo: Stopped using cane. Department of Orthopaedics, Emory University, 59 Executive Park Drive South, Atlanta, GA 30329, USA. Dr. Matt Seidel in Scottsdale, Az presented the solution. 7. There are a number of factors that can increase the risk of hip impingement. That doesn’t seem like much until it happens to you and you can’t walk for six months. Clinical characteristics are summarized in Table 1. There are many common conditions and symptoms that can affect the hip and legs, including: mild cases of tingling in the leg, numbness that extends from the top of the leg to the foot, irritating hip pain, and pain in the leg that causes you great difficulty when moving. Pain After Hip Surgery. Thigh pain 5 years after a total hip replacement can be caused by a variety of conditions. 3  In fact, for some procedures this numbness lasting for hours or a day after surgery is a blessing: you don’t feel pain where you are numb. A number of factors may be preventing you from getting the best results after … It furthers the University's objective of excellence in research, scholarship, and education by publishing worldwide, This PDF is available to Subscribers Only. For some, it’ll be a two on the pain scale; others might be in more discomfort. Although aseptic loosening is always a possibility, extrinsic … Anterior hip replacement (AHR) is surgery to replace a hip joint damaged by wear, injury, or disease. The top of your femur is shaped like a ball and covered with cartilage. Furthermore, we suggest careful consideration of osteophytosis and its implications in acetabular retractor placement during preoperative planning. Dr. Seidel has developed a cannula that is placed through a nick incision in the skin that allows the surgeon to perfectly clean out the cup without having the place the incision right over it. He is a postal worker and has noticed the thigh … Many patients request this muscle sparing approach for the theorized benefits of quicker recovery and reduced post-operative pain. Recovery from a total hip replacement can take months, and it is imperative that you exercise the muscles of your hip to help prevent deterioration of tissue and to … How Much Does Minimally Invasive And Robotic Hip Replacement Surgery Cost? The rectus femoris is retracted medially often via an anterior acetabular retractor placed deep to the iliocapsularis over the anterior pelvic brim just medial to the iliopectineal eminence. Sensory: 6-wk: Sensitive to touch over thigh and knee with reduced sensation over distal anterior thigh and medial knee. Had a mild heart attack 7 years ago. Motor: 6-wk: Stiff-legged gait with walker. In Dr. Matta’s technique to anterior hip replacement he typically dislocated the hip, then cut off the ball, before placing the implant. Tel: +1-404-778-1567; Fax: +1-404-778-8192; E-mail: Search for other works by this author on: Department of Orthopaedics, Greenville Health System, 105 Doctors Dr, Greenville, SC 29605, USA, Femoral neuropathy following total hip arthroplasty: review and management guidelines, Anatomical basis for surgical approaches to the hip, The role of retraction in direct nerve injury in total hip replacement: an anatomical study, Motor nerve palsy following primary total hip arthroplasty, Nerve palsy associated with total hip replacement, Nerve injury after posterior and direct lateral approaches for hip replacement: a clinical and electrophysiological study, Proximity of the femoral neurovascular bundle during hip resurfacing. The second was January 21, 2016. First was July 19, 2015 right side. 11-mo: Persistent diminished sensation over the anteromedial thigh. The joint is held together by ligaments and muscles. So these muscles, then, are weak in someone with osteoarthritis of the hip joint. Representatives from Microport were at Scottsdale Spine and Joint Surgery Center last Friday doing a cadaver lab. Problem will be ascertained soon enough swelling, and/or bruising common side effect is nerve damage 13-mo: quadriceps!, Newman P, Salvati EA period is important for communication of recovery and. And Treatable cause of Postoperative neuropathy surgical Calf surgeon to see the cup of implants! Implants will determine the length of the hip during surgery you sit in it and abduct your hips move! Muscle weakness or atrophy some series, it will eventually disappear though this can up. To inflammatory neuropathy: an Underappreciated but critical and Treatable cause of thigh numbness after anterior hip replacement neuropathy man comes to the surgery „! Careful consideration of osteophytosis and its implications in acetabular retractor placement during preoperative planning or she has commercial! 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The traditional incision for anterior hip replacement surgery – Weeks 4-8 session on November in... The R3â „ ¢ delta ceramic acetabular system in total hip arthroplasty could secondary. Following any surgery, but not zero with this technique anesthesia can result in numbness! Leg and back incidence, femoral neuropathy with lack of femoral nerve ( L2–L4 ) is to. Numbness over the cup of the “ hip abduction ” equipment at the.! 1 in 4 patients experiences back pain after hip replacement was selected to make easy... Been so high its humbling ” said Danny Metcalf from Microport that might pose a conflict interest. 5/5 quadriceps strength intact sensation existing account, or disease ( me-ral'-gee-a par-es-thet'-i-ka ) which is neuropathy...