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Lateral femoral cutaneous neuropathy and its surgical treatment: A report of 167 cases
Author(s) -
Benezis Igor,
Boutaud Benoit,
Leclerc Jerome,
Fabre Thierry,
Durandeau Alain
Publication year - 2007
Publication title -
muscle and nerve
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.025
H-Index - 145
eISSN - 1097-4598
pISSN - 0148-639X
DOI - 10.1002/mus.20868
Subject(s) - medicine , surgery , etiology , inguinal ligament , thigh , iliac crest , femoral nerve , cutaneous nerve , nerve compression syndrome , anesthesia , psychiatry
Surgical treatment of lateral femoral cutaneous neuropathy (LFCN) is performed only after failure of conservative management. We reexamined 167 cases (7 bilateral) of LFCN of various etiologies (idiopathic, abdominal surgery, iliac crest bone grafting, trauma, and total hip arthroplasty) operated on between 1987 and 2003. Average follow‐up was 98 months (20–212). The intervention was performed under local anesthesia in 139 cases (83%). Surgical release of the nerve was performed in 153 cases (92%) and transection in 14 cases (8%). Surgical treatment of LFCN led to improvement and patient satisfaction in 130 cases (78%). The results depended on several factors, especially the underlying etiology, duration of symptoms before intervention, and integrity of the nerve. Nerve release remains the first‐line surgical technique, improving painful symptoms in many cases while preserving sensation of the thigh. It can be performed under local anesthesia by an experienced surgeon. Muscle Nerve, 2007