COMPRESSION OF THE SCIATIC NERVE BY WEAR DEBRIS FOLLOWING TOTAL HIP REPLACEMENT: A REPORT OF THREE CASES

2003 ◽  
Vol 85-B (8) ◽  
pp. 1178-1180 ◽  
Author(s):  
J. R. Crawford ◽  
L. Van Rensburg ◽  
C. Marx
1994 ◽  
Vol 76-B (1) ◽  
pp. 60-67 ◽  
Author(s):  
AS Shanbhag ◽  
JJ Jacobs ◽  
TT Glant ◽  
JL Gilbert ◽  
J Black ◽  
...  

Orthopedics ◽  
1993 ◽  
Vol 16 (11) ◽  
pp. 1277-1281
Author(s):  
Michael H Huo ◽  
Foster Betts ◽  
George P Bogumill ◽  
Peter I Kenmore ◽  
Richard J Hayek ◽  
...  

2019 ◽  
Vol 10 (1) ◽  
pp. 121-123 ◽  
Author(s):  
Chang Park ◽  
Adeel Ikram ◽  
Hani B. Abdul-Jabar ◽  
Warwick J.P. Radford

2014 ◽  
Vol 25 (2) ◽  
pp. 189-190
Author(s):  
Nadia Claire Sciberras ◽  
Andrew Kinninmonth

2017 ◽  
Vol 2017 ◽  
pp. 1-7 ◽  
Author(s):  
Marcello De Fine ◽  
Matteo Romagnoli ◽  
Stefano Zaffagnini ◽  
Giovanni Pignatti

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.


2013 ◽  
Vol 95-B (1) ◽  
pp. 20-22 ◽  
Author(s):  
S. Kyriacou ◽  
P. S. Pastides ◽  
V. K. Singh ◽  
L. Jeyaseelan ◽  
M. Sinisi ◽  
...  

2010 ◽  
Vol 23 (02) ◽  
pp. 119-123 ◽  
Author(s):  
N. D. Doyle ◽  
Z. Schwartz ◽  
W. D. Liska

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.


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