Sciatic nerve irritation by extruded cement after total hip replacement

2014 ◽  
Vol 25 (2) ◽  
pp. 189-190
Author(s):  
Nadia Claire Sciberras ◽  
Andrew Kinninmonth
Keyword(s):  
Sciatic Nerve ◽  
Total Hip Replacement ◽  
Hip Replacement ◽  
Total Hip

scholarly journals Sciatic nerve neuritis of no cause in primary total hip replacement: A case series

2019 ◽  
Vol 10 (1) ◽  
pp. 121-123 ◽  
Author(s):  
Chang Park ◽  
Adeel Ikram ◽  
Hani B. Abdul-Jabar ◽  
Warwick J.P. Radford
Keyword(s):  
Sciatic Nerve ◽  
Total Hip Replacement ◽  
Hip Replacement ◽  
Case Series ◽  
Total Hip

scholarly journals Sciatic Nerve Palsy following Total Hip Replacement: Are Patients Personal Characteristics More Important than Limb Lengthening? A Systematic Review

2017 ◽  
Vol 2017 ◽  
pp. 1-7 ◽  
Author(s):  
Marcello De Fine ◽  
Matteo Romagnoli ◽  
Stefano Zaffagnini ◽  
Giovanni Pignatti
Keyword(s):  
Risk Factors ◽  
Sciatic Nerve ◽  
Total Hip Replacement ◽  
Hip Replacement ◽  
Nerve Palsy ◽  
Case Series ◽  
Limb Lengthening ◽  
Retrospective Case ◽  
Sciatic Nerve Palsy ◽  
Total Hip

Sciatic nerve palsies are rare but potentially devastating complications, accounting for more than 90% of neurologic injuries following total hip replacement. A systematic literature screening was carried out searching papers evaluating an exclusive population of postarthroplasty sciatic nerve palsies to ascertain (1) the influence of limb lengthening itself on sciatic nerve palsy, (2) the most important risk factors, (3) the long-term prognosis, and (4) the outcomes of different treatments. Fourteen manuscripts were finally included. The wide prevalence of retrospective case series decreased the global methodological quality of the retrieved papers. A hazardous lengthening threshold cannot be surely identified. Developmental dysplasia of the hip and previous hip surgeries are the most frequently recognized risk factors. Rate of full nerve function restoration approximates two-thirds of the cases, independently of the extent of initial neural damage. Poor evidences are available about the best treatment strategy. Well-structured multicentric prospective comparative studies are needed to substantiate or contrast the finding of this review. Anyway, since the onset of palsies is probably due to a combination of individual factors, risk of nerve damage and potential for nerve recovery should be evaluated on an individual basis.

Exploration and neurolysis for the treatment of neuropathic pain in patients with a sciatic nerve palsy after total hip replacement

2013 ◽  
Vol 95-B (1) ◽  
pp. 20-22 ◽  
Author(s):  
S. Kyriacou ◽  
P. S. Pastides ◽  
V. K. Singh ◽  
L. Jeyaseelan ◽  
M. Sinisi ◽  
...  
Keyword(s):  
Neuropathic Pain ◽  
Sciatic Nerve ◽  
Total Hip Replacement ◽  
Hip Replacement ◽  
Nerve Palsy ◽  
Sciatic Nerve Palsy ◽  
Total Hip

Successful revision of a femoral head ostectomy (complicated by postoperative sciatic neurapraxia) to a total hip replacement in a cat

2010 ◽  
Vol 23 (02) ◽  
pp. 119-123 ◽  
Author(s):  
N. D. Doyle ◽  
Z. Schwartz ◽  
W. D. Liska
Keyword(s):  
Femoral Head ◽  
Sciatic Nerve ◽  
Femoral Neck ◽  
Total Hip Replacement ◽  
Hip Replacement ◽  
Normal Activity ◽  
Total Hip ◽  
Neck Fracture ◽  
Postural Reaction ◽  
Tentative Diagnosis

SummaryA three-year-old neutered male Domestic Medium Hair cat was referred for evaluation of a right hindlimb monoparesis of one month duration following a femoral head ostectomy (FHO) performed elsewhere. Examination of the limb revealed muscle atrophy and decreased sensory perception over the sciatic nerve distribution with conscious proprioception and postural reaction deficits. The tentative diagnosis was sciatic neurapraxia.Radiographs taken prior to the FHO revealed a chronic nonunion right femoral neck fracture. The FHO was performed to remove the remnant of the femoral head and neck remaining in the acetabulum.Surgery was performed to explore the sciatic nerve and to revise the FHO into a total hip replacement. Sciatic nerve entrapment was present. Tethering sutures and extensive peri-neural adhesions were released to restore nerve gliding. Postoperatively, activity was limited for six weeks; normal activity resumed at eight weeks. Rehabilitation treatments were provided to maximise the patient’s excellent recovery.

scholarly journals Clinical indicants and electrophysiological patterns of sciatic nerve in patients after total hip replacement

2021 ◽  
Author(s):  
Vladimir Ostrovskij ◽  
Vladimir Tolkachev ◽  
Sergey Bazhanov ◽  
Galina Korshunova ◽  
Andrei Chekhonatsky
Keyword(s):  
Sciatic Nerve ◽  
Total Hip Replacement ◽  
Hip Replacement ◽  
Educational Institution ◽  
Pain Syndrome ◽  
Clinical Score ◽  
Federal State ◽  
Total Hip ◽  
Age Appropriate ◽  
Medical University

Background. The incidence of sciatic nerve (SN) damage after a total hip replacement (THR) is 10 percent. The underdiagnosis of paucisymptomatic sciatic neuropathy may lead to the unsatisfactory outcome of the treatment in these patients featured by frequent chronic pain syndrome. This research was aimed at the evaluation of the dynamics of clinical and electrophysiological patterns in SN after THR. Material and methods. The research involved 16 individuals 45 to 68 years old with primary idiopathic coxarthrosis who underwent THR in the Scientific Research Institute of Traumatology, Orthopedics and Neurosurgery, Federal State Budgetary Educational Institution of Higher Education V.I. Razumovsky Saratov State Medical University, the Russian Federation Ministry of Healthcare. We compared the findings of clinical and neurologic examinations (VAS, muscle strength, and sensitivity evaluation) as well as ENMG before surgeries and 14 days after them. Results. In the evaluation of the clinical score in 9 patients, we observed some negative changes featured by paresthesia around the area of the SN innervation. The analysis of changes in ENMG findings revealed the decrease in M-response amplitudes of both peroneal and tibial nerves by more than 10 percent of the age-appropriate normal value; this was more prominent in patients who had undergone the lengthening of extremities in more than 3 cm. Conclusion. THR is associated with a higher risk of traction and entrapment changes in SN that lead to the progress of their neuropathies in the post-operative period.

scholarly journals Management of a full-thickness burn to the foot following sciatic nerve palsy secondary to primary total hip replacement

2013 ◽  
Vol 2013 (apr16 1) ◽  
pp. bcr2012008157-bcr2012008157
Author(s):  
S. Jabir ◽  
Q. Frew ◽  
N. El-Muttardi ◽  
P. Dziewulski
Keyword(s):  
Sciatic Nerve ◽  
Total Hip Replacement ◽  
Hip Replacement ◽  
Nerve Palsy ◽  
Full Thickness ◽  
Sciatic Nerve Palsy ◽  
Total Hip
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