A CASE REPORT PERIOPERATIVE NEUROPATHY OF THE SCIATIC NERVE

In recent years, there has been a persistent tendency to increase the number of hip replacement operations, which is associated with the prevalence of coxarthrosis, as well as with a decrease in the age threshold for their manifestation. Along with this, the number of possible complications increases proportionally, including perioperative neuropathies, which can lead to long-term disability with a high frequency of disability. In this regard, the purpose of this article is to analyze the risk factors for perioperative sciatic nerve neuropathy, as well as the form and degree of damage during hip replacement. This article presents a clinical case of perioperative sciatic nerve neuropathy as a complication of hip replacement. The history of the disease is described in detail with the data of instrumental diagnostics. You can trace the pattern of development of this complication and identify the causal relationship between risk factors and the lesion itself. It is worth noting that this article provides an overview of the current literature on this problem with reference to this clinical case. It becomes clear that at all stages of surgical treatment, it is necessary to identify risk factors in order to prevent sciatic nerve damage. Recovery of the damaged nerve is long and not always complete, which largely determines the unsatisfactory result of treatment. Therefore, in the process of preoperative preparation is necessary to assess the risk of development of postoperative neuropathies. Also, do not forget about the importance of conducting rehabilitation activities in the early postoperative period. Timely diagnosis of perioperative nerve damage will help clarify the patient's further management tactics.

hip replacement, perioperative neuropathies, risk factors, complications, ENMG, clinical case, ischemia, compression