EP243 Outcomes and complications of neurectomy versus decompression for surgical treatment of meralgia paresthetica: a systematic review

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Finerty2025Outcomes-CCBYNC.pdf (32.18 KB)
Date
2025-12-22
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Finerty, Joshua
Garden, Allison
Everhart, Joshua
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American English
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Orthopaedic Surgery, School of Medicine
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Oxford University Press
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Abstract

Background and Objective: Meralgia paresthetica (MP) results from lateral femoral cutaneous nerve compression, leading to thigh pain and numbness. This review aims to compare surgical outcomes and complications of neurectomy versus decompression.

Materials and Methods: We systematically reviewed 23 studies, assessing 818 surgical cases (neurectomy: 213, decompression: 605). Outcomes and complications were compared using patient-reported outcomes and Methodological Index for Non-Randomized Studies.

Results: Neurectomy yielded a higher positive outcome rate (92.0%) compared to decompression (82.8%) and fewer wound complications (0.5% versus 4.0%).

Conclusion: Neurectomy offers more reliable symptom relief with fewer wound complications than decompression for MP.

Level of Evidence: Level III systematic review

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Meralgia paresthetica (MP), Neurectomy, Decompression
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Finerty J, Garden A, Everhart J. EP243 Outcomes and complications of neurectomy versus decompression for surgical treatment of meralgia paresthetica: a systematic review. J Hip Preserv Surg. 2025;12(Suppl 2):ii106. Published 2025 Dec 22. doi:10.1093/jhps/hnaf069.341
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Journal of Hip Preservation Surgery
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Attribution-NonCommercial 4.0 International Creative Commons licenses
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https://hdl.handle.net/1805/53299
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https://doi.org/10.1093/jhps/hnaf069.341
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