Entrapment of the Sciatic Nerve Over the Femoral Neck Stem After Closed Reduction of a Dislocated Total Hip Arthroplasty.

Details

Serval ID
serval:BIB_CD551F2C93CC
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
Entrapment of the Sciatic Nerve Over the Femoral Neck Stem After Closed Reduction of a Dislocated Total Hip Arthroplasty.
Journal
Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews
Author(s)
Maeder B., Goetti P., Mahlouly J., Mustaki L., Buchegger T., Guyen O.
ISSN
2474-7661 (Electronic)
ISSN-L
2474-7661
Publication state
Published
Issued date
02/2019
Peer-reviewed
Oui
Volume
3
Number
2
Pages
e081
Language
english
Notes
Publication types: Case Reports
Publication Status: epublish
Abstract
Sciatic nerve injury is a rare but potentially extremely disabling complication of posterior dislocated total hip arthroplasty. Initial closed reduction is recommended followed by a careful neurovascular examination. This procedure and the following stability testing are usually safe and typically associated with a very low complication rate. We report the case of sciatic nerve entrapment around the neck of the femoral stem after closed reduction of a posteriorly dislocated total hip arthroplasty. Immediate postreduction palsy led to surgical exploration, identification, neurolysis of the sciatic nerve and safe reduction was performed. Patient outcome was marked by complete sensitive sciatic nerve recovery, but complete loss of motor sciatic nerve function. This case highlights the importance of careful postreduction neurovascular assessment and prompt surgical exploration when indicated.
Pubmed
Web of science
Open Access
Yes
Create date
04/08/2019 15:27
Last modification date
21/08/2019 6:36
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