Repeated courses of electrical stimulation for traction neuropathies of the sciatial and femoral nerves after endoprosthetics

Abstract

Objective: to substantiate the indications for repeated courses of electrical stimulation using a temporary implanted epidural electrode in patients with traction neuropathies after hip replacement. Material and methods. A method of puncture implantation of epidural electrodes was used to conduct a course of electrical stimulation. An analysis of 162 electrode implantations was performed. The results of treatment of 73 patients with neuropathies of the sciatic (n=65) and femoral (n=8) nerves after hip replacement are presented. The follow-up period was 5.5 years. Results. There was a 2-fold increase in the number of hospitalizations for every 4.5 months of interval between endoprosthetics and the first course of electrical stimulation. Depending on the initial neurological deficit, an increase in the number of hospitalizations by an average of half is predicted to increase muscle strength by 1 point. The maximum number of hospitalizations in this category of patients is 8, the average number of hospitalizations is 3. Conclusion. Indications for repeated courses of electrical stimulation using a temporary implanted epidural electrode in patients with traction neuropathies after hip replacement are substantiated. Epidural electrical stimulation allows you to relieve pain associated with traction damage to nerve axons; repeated courses of electrical stimulation contribute to a more complete restoration of nerve function.