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

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

scholarly journals Sciatic Nerve Palsy following Total Hip Replacement via Direct Anterior Approach after Recommencement of Warfarin for Prophylaxis in Atrial Fibrillation

2014 ◽  
Vol 2014 ◽  
pp. 1-3
Author(s):  
Vipin Asopa ◽  
Shafic Al-Nammari ◽  
Tony Spriggins ◽  
Tony Menz ◽  
Adrian Bauze
Keyword(s):  
Atrial Fibrillation ◽  
Sciatic Nerve ◽  
Total Hip Replacement ◽  
Hip Replacement ◽  
Anterior Approach ◽  
Nerve Palsy ◽  
Early Recognition ◽  
Delayed Diagnosis ◽  
Sciatic Nerve Palsy ◽  
Total Hip

The occurrence of sciatic nerve palsy following posterior and anterolateral approaches to the hip has been well documented and is about 1-2%. To our knowledge, however, there are no reports of sciatic nerve palsy occurring secondary to the anterior approach to the hip for arthroplasty. We describe a case of sciatic nerve palsy secondary to haematoma formation following total hip replacement through the anterior approach. The recommencement of warfarin for prophylaxis against atrial fibrillation is thought to have been a contributing factor. Full recovery is rare following delayed diagnosis and early recognition of the signs of pain, parasthesia, and gradual loss of dorsiflexion and prompt drainage may reverse the condition. We advise caution with restarting warfarin following total hip arthroplasty.

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 Nerve Palsy after Total Hip Arthroplasty without Subtrochanteric Femoral Shortening Osteotomy for a Completely Dislocated Hip Joint

2016 ◽  
Vol 10 (1) ◽  
pp. 785-792 ◽  
Author(s):  
Motoki Sonohata ◽  
Masaru Kitajima ◽  
Shunsuke Kawano ◽  
Masaaki Mawatari
Keyword(s):  
Sciatic Nerve ◽  
Total Hip Arthroplasty ◽  
Hip Joint ◽  
Hip Arthroplasty ◽  
Nerve Palsy ◽  
Limb Lengthening ◽  
Sciatic Nerve Palsy ◽  
Total Hip ◽  
Shortening Osteotomy ◽  
Femoral Shortening

Background: Neurological injuries are a rare but devastating complication after total hip arthroplasty (THA). The purpose of this study was to retrospectively determine the frequency of nerve palsy after THA without subtrochanteric femoral shortening osteotomy in patients with a completely dislocated hip joint without pseudo-articulation between the femoral head and iliac bone. Methods: Between October 1999 and September 2001, nine primary THAs were performed for patients with a completely dislocated hip joint. The limb lengths, neurological abnormalities, and the extent of their neurological recovery were evaluated. Three THAs were combined with subtrochanteric femoral shortening osteotomy, and six THAs were combined without subtrochanteric femoral shortening osteotomy. Results: The mean length of the operation was 4.8 cm (range, 3.0-6.5 cm). Sciatic nerve palsy developed in four of the nine patients after THA. None of the cases with sciatic nerve palsy were combined with subtrochanteric femoral shortening osteotomy. Three of four patients did not completely recover from sciatic nerve palsy. Conclusions: THA for patients with a completely dislocated hip was associated with a high risk of nerve palsy due to excessive limb lengthening; the potential for recovery from nerve palsy was observed to be poor. Subtrochanteric femoral shortening osteotomy should be used in combination with THA in patients with a completely dislocated hip.

Sign in / Sign up

Export Citation Format

Share Document