Nervenläsionen nach Hüftprothesenimplantation - Schicksal oder Behandlungsfehler?

Autor:	N. Schürmann, R. T. Müller, T.K. Lichtinger
Rok vydání:	2008
Předmět:	medicine.medical_specialty business.industry Chirurgie orthopedique medicine.medical_treatment Mistake Delayed treatment Prosthesis Lower limb Surgery Hip arthroplasty Orthopedic surgery Retrospective analysis Medicine Orthopedics and Sports Medicine business
Zdroj:	Zeitschrift für Orthopädie und ihre Grenzgebiete. 137:136-139
ISSN:	1438-941X 0044-3220
DOI:	10.1055/s-2008-1039347
Popis:	INTRODUCTION Nerve lesions after hip arthroplasty are common complications which may imply the reproach of a treatment mistake. Thus, the decisive question to the expert runs: fate or treatment mistake? METHODS Retrospective analysis of all cases dealt with at the medical expert commission of the General Medical Council Nordrhein during 1977-1997 in respect of the damage mechanisms and expert judgments. RESULTS As long as diagnosis and therapy were set on time, nerve lesions after hip arthroplasty due to extension, pressure or placement of the leg were evaluated as fateful (81%). Delayed treatment as well as incorrect operation technique, -indication, or inadequate documentation were judged as a treatment mistake (19%). CONCLUSION Nerve lesions after hip arthroplasty cannot always be avoided and thus do not directly imply a treatment mistake. Immediate therapy and precise documentation are important to minimize the damage.
Databáze:	OpenAIRE
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