Sciatic nerve palsy--a complication of posterior approach using enhanced soft tissue repair for total hip arthroplasty.

Lohana, Parkash; Woodnutt, David J; Boyce, Dean E · J Plast Reconstr Aesthet Surg · 2010

case_report · Level V

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Abstract

Sciatic nerve palsy is a rare but well recognised complication of total hip replacement. There are a variety of potential causes of sciatic nerve palsy and its prevalence with different approaches has been mentioned in the literature.(1-5) The posterolateral or 'Southern' approach with some form of enhanced soft tissue repair is a commonly used approach for primary total hip arthroplasty. However, the sciatic nerve is recognised to be in close proximity to the surgical field. We report a case of sciatic nerve palsy after this approach as a result of a surgical suture used for soft tissue repair.

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