| Sciatic nerve entrapment secondary to trochanteric wiring following total hip arthroplasty. A case report. | |
| | |
MedLine Citation:
|
PMID: 6627788 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
In an 81-year-old woman the sciatic nerve was inadvertently penetrated with the trochanteric wire and incorporated into the trochanteric wiring during trochanteric attachment in total hip arthroplasty through a transtrochanteric approach. Immediately after operation, the patient had a sciatic palsy. Exploration of the wound revealed that the nerve had been entrapped in the trochanteric wiring mechanism. Despite release of the nerve and neurolysis, symptoms persisted, and the patient had a complete sciatic palsy that has not recovered. The technical aspects of total hip arthroplasty utilizing trochanteric osteotomy should include internal rotation of the femur during insertion of trochanteric wire so that the posterior aspects of the hip joint and the femoral shaft can be fully observed. Similarly, all wire should be free of any soft tissue prior to twisting and tightening. Patients awakening with profound and immediate sciatic involvement should be explored early to determine the cause as well as to alleviate any possible impingement that might interfere with the prognosis of this very serious injury. |
| | |
Authors:
|
T H Mallory |
Related Documents
:
|
21143048 - A multilevel analysis of three randomised controlled trials of the australian medical s... 11412888 - What defines a view? 21539288 - Appraisal by year six french medical students of the teaching of forensic medicine and ... 21134178 - Specialty preferences of iraqi medical students. 17558978 - Conscientious objection and emergency contraception. 10116318 - Marketing the concept of becoming a potential organ donor. |
Publication Detail:
|
Type: Case Reports; Journal Article |
Journal Detail:
|
Title: Clinical orthopaedics and related research Volume: - ISSN: 0009-921X ISO Abbreviation: Clin. Orthop. Relat. Res. Publication Date: 1983 Nov |
Date Detail:
|
Created Date: 1983-12-17 Completed Date: 1983-12-17 Revised Date: 2005-03-03 |
Medline Journal Info:
|
Nlm Unique ID: 0075674 Medline TA: Clin Orthop Relat Res Country: UNITED STATES |
Other Details:
|
Languages: eng Pagination: 198-200 Citation Subset: AIM; IM |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Aged Female Femur / surgery Hip Prosthesis / adverse effects* Humans Nerve Compression Syndromes / etiology*, pathology Osteotomy / adverse effects, instrumentation Sciatic Nerve / injuries* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Spinal stenosis caused by a Harrington hook in neuromuscular disease. A case report.
Next Document: Comparison of Charnley and T-28 total hip arthroplasty.