The Femoral and Lateral Femoral Cutaneous Nerve Palsy After Periacetabular Osteotomy Operation

Abstract

Acetabular dysplasia is a complex multi-plane deformity of the acetabulum, which results in the development of osteoarthritis at an early age in young adults. A female patient at age of 24 was admitted to our rehabilitation clinic because of hip pain and weakness. The patient had had bilateral hip joint dysplasia and she had been operated from right side on December 25, 2013 by Ganz tecnique which is called periacetabular osteotomy. After the surgery, the patient had limitation of hip joint and limping. When the patient was admitted to our clinic, the patient's hip muscles force was 2/5, knee muscles force was 5/5 and she has hypoesthesia at L2-3 dermatomes. Her EMG result exposed femoral and lateral femoral cutaneous nerve injury. The patient could walk with a canedien. We took the patient for rehabilitation treatment to strengthen her muscles and to decrease hip pain and hip limitation. The aims of treatment for acetabular dysplasia are the normalization of the relationship between the femoral head and acetabulum on weight bearing position, and to provide a painless, stable, and functional hip in the long term. There may be several complications after hip surgery such as nerve or vessel injury, acetabular osteonecrosis, arthrosis, intraarticular osteotomy, heterotopic ossification, pulmonary emboli, deep vein thrombosis (DVT), and RSDS (algoneurodistrofia).