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

Détails

ID Serval
serval:BIB_CD551F2C93CC
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Etude de cas (case report): rapporte une observation et la commente brièvement.
Collection
Publications
Titre
Entrapment of the Sciatic Nerve Over the Femoral Neck Stem After Closed Reduction of a Dislocated Total Hip Arthroplasty.
Périodique
Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews
Auteur(s)
Maeder B., Goetti P., Mahlouly J., Mustaki L., Buchegger T., Guyen O.
ISSN
2474-7661 (Electronic)
ISSN-L
2474-7661
Statut éditorial
Publié
Date de publication
02/2019
Peer-reviewed
Oui
Volume
3
Numéro
2
Pages
e081
Langue
anglais
Notes
Publication types: Case Reports
Publication Status: epublish
Résumé
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
Oui
Création de la notice
04/08/2019 14:27
Dernière modification de la notice
21/08/2019 5:36
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