No. 215 CRPS Type-2 as the Initial Clinical Manifestation of Iatrogenic Sciatic Nerve Injury After Total Hip Arthroplasty: A Case Report

PM&R ◽  
2014 ◽  
Vol 6 (8) ◽  
pp. S135-S136
Author(s):  
Koray Aydemir ◽  
Umut Guzelkucuk Asst. Prof ◽  
Serdar Kesikburun ◽  
Yasin Demir
Keyword(s):  
Case Report ◽  
Sciatic Nerve ◽  
Total Hip Arthroplasty ◽  
Nerve Injury ◽  
Clinical Manifestation ◽  
Hip Arthroplasty ◽  
Sciatic Nerve Injury ◽  
Total Hip

scholarly journals Delayed total hip arthroplasty in patients developing osteoarthritis following acetabular fractures

2021 ◽  
Vol 0 ◽  
pp. 1-5
Author(s):  
Jatinder S. Luthra ◽  
Salim AL Habsi
Keyword(s):  
Sciatic Nerve ◽  
Total Hip Arthroplasty ◽  
Nerve Injury ◽  
Hip Arthroplasty ◽  
Hip Dislocation ◽  
Sciatic Nerve Injury ◽  
Acetabular Fractures ◽  
Short Term ◽  
Independent Observer ◽  
Total Hip

Objectives: The aim of this study is to review the short-term results of total hip arthroplasty (THA) for the management of delayed arthritis after acetabular fractures. Methods: This is a retrospective study of operated cases of THA post-acetabular fracture arthritis. Data were collected from computerized hospital records from January 2010 to December 2019. We analyzed post-operative outcomes, which included revision surgery due to any reason, post-operative infection, hip dislocation, sciatic nerve injury, and deep venous thrombosis. In addition, radiographs were evaluated for restoration of the center of rotation (COR), horizontal offset (HO), and vertical offset (VO) by an independent observer. Results: A total of 36 cases (30 males and six females) were included in the study. The average age was 55 years. Road traffic accidents were the most common cause of fractures followed by falls from height. The mean time between the fracture and the development of symptoms of arthritis was 48 months. One THA was complicated by post-operative dislocation. Infection was reported in three cases and sciatic nerve injury occurred in one patient. Heterotopic ossification was seen in four cases and thromboembolism developed in one patient. The COR, HO, and VO showed a normal pattern. Conclusion: THA after acetabular fractures is a complex surgical procedure with relatively high short-term complications. Restoring the hip biomechanics can help in achieving results that are comparable to primary total hip replacement.

Sciatic nerve palsy after cementless total hip arthroplasty. Treatment by modular neck and calcar shortening: a case report

2002 ◽  
Vol 7 (3) ◽  
pp. 400-402 ◽  
Author(s):  
Takashi Sakai ◽  
Nobuhiko Sugano ◽  
Masakazu Fujii ◽  
Takashi Nishii ◽  
Kenji Ohzono ◽  
...  
Keyword(s):  
Case Report ◽  
Sciatic Nerve ◽  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Nerve Palsy ◽  
Modular Neck ◽  
Sciatic Nerve Palsy ◽  
Total Hip ◽  
Cementless Total Hip Arthroplasty

Distal peroneal nerve decompression after sciatic nerve injury secondary to total hip arthroplasty

2018 ◽  
Vol 130 (1) ◽  
pp. 179-183 ◽  
Author(s):  
Thomas J. Wilson ◽  
Grant M. Kleiber ◽  
Ryan M. Nunley ◽  
Susan E. Mackinnon ◽  
Robert J. Spinner
Keyword(s):  
Logistic Regression ◽  
Sciatic Nerve ◽  
Total Hip Arthroplasty ◽  
Nerve Injury ◽  
Hip Arthroplasty ◽  
Surgical Outcome ◽  
Peroneal Nerve ◽  
Sciatic Nerve Injury ◽  
Multivariate Logistic Regression

OBJECTIVEThe sciatic nerve, particularly its peroneal division, is at risk for injury during total hip arthroplasty (THA), especially when a posterior approach is used. The majority of the morbidity results from the loss of peroneal nerve–innervated muscle function. Approximately one-third of patients recover spontaneously. The objectives of this study were to report the outcomes of distal decompression of the peroneal nerve at the fibular tunnel following sciatic nerve injury secondary to THA and to attempt to identify predictors of a positive surgical outcome.METHODSA retrospective study of all patients who underwent peroneal decompression for the indication of sciatic nerve injury following THA at the Mayo Clinic or Washington University School of Medicine in St. Louis was performed. Patients with less than 6 months of postoperative follow-up were excluded. The primary outcome was dorsiflexion strength at latest follow-up. Univariate and multivariate logistic regression analyses were performed to assess the ability of the independent variables to predict a good surgical outcome.RESULTSThe total included cohort consisted of 37 patients. The median preoperative dorsiflexion grade at the time of peroneal decompression was 0. Dorsiflexion at latest follow-up was Medical Research Council (MRC) ≥ 3 for 24 (65%) patients. Dorsiflexion recovered to MRC ≥ 4− for 15 (41%) patients. In multivariate logistic regression analysis, motor unit potentials in the tibialis anterior (OR 19.84, 95% CI 2.44–364.05; p = 0.004) and in the peroneus longus (OR 8.68, 95% CI 1.05–135.53; p = 0.04) on preoperative electromyography were significant predictors of a good surgical outcome.CONCLUSIONSAfter performing peroneal nerve decompression at the fibular tunnel, 65% of the patients in this study recovered dorsiflexion strength of MRC ≥ 3 at latest follow-up, potentially representing a significant improvement over the natural history.

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