Abstract
We report the case of a sciatic nerve section in a patient operated for a multi-acetabular loosening. Clinical symptoms were a progressive sensitive and motor deficit in the sciatic nerve territory. At the last loosening, the Burch-Schneider metal frame, which builds on the ischium, tipped on its axis causing the large section of the sciatic nerve. A literature review will discuss this rare case and give some recommendations.
References
Pekkarinen J, Alho A, Puusa A, Paavilainen T (1999) Recovery of sciatic nerve injuries in association with total hip arthroplasty in 27 patients. J Arthroplast 14:305–311
DeHart MM, Riley LH Jr (1999) Nerve injuries in total hip arthroplasty. J Am Acad Orthop Surg 7:101–111
Farrell CM, Springer BD, Haidukewych GJ, Morrey BF (2005) Motor nerve palsy following primary total hip arthroplasty. J Bone Joint Surg Am 87:2619–2625
Weil Y, Mattan Y, Goldman V, Liebergall M (2006) Sciatic nerve palsy due to hematoma after thrombolysis therapy for acute pulmonary embolism after total hip arthroplasty. J Arthroplast 21:456–459
Brown GD, Swanson EA, Nercessian OA (2008) Neurologic injuries after total hip arthroplasty. Am J Orthop 37:191–197
Yacoubian SV, Sah AP, Estok DM 2nd (2010) Incidence of sciatic nerve palsy after revision hip arthroplasty through a posterior approach. J Arthroplast 25:31–34. Epub 13 Jun 2009
May O, Girard J, Hurtevent JF, Migaud H (2008) Delayed, transcient sciatic nerve plasy after primary cementless hip arthroplasty: a report of two cases. J Bone Joint Surg Br 90:674–676
Stiehl JB, Stewart WA (1998) Late sciatic nerve entrapment following pelvic plate reconstruction in total hip arthroplasty. J Arthroplast 13:586–588
Massin P, Duparc J (1995) Total hip replacement in irradiated hips. A retrospective study of 71 cases. J Bone Joint Surgery Br 77:847–852
Jacobs JJ, Kull LR, Frey GA, Gitelis S, Sheinkop MB, Kramer TS, Rosenberg AG (1995) Early failure of acetabular components inserted without cement after previous pelvic irradiation. J Bone Joint Surg Am 77:1829–1835
Schuh A, Riedel F, Craiovan B, Zeiler G (2003) Delayed neuropathy of the sciatic nerve after total hip replacement with an acetabular reinforcement ring. Zentralblatt für Chirurgie 128:871–873
Vastamäki M, Ylinen P, Puusa A, Paavilainen T (2008) Late hardware-induced sciatic nerve lésion after acetabular révision. Clin Orthop Relat Res 466:1193–1197
Gauthier L, Allen D, Kim P (2010) Late transection of the sciatic nerve in association with an acetabular reconstruction cage. J Arthroplast 25:21–24
Goodman S, Saastamoinen H, Shasha N, Gross A (2004) Complications of ilioischial reconstruction rings in revision total hip arthroplasty. J Arthroplast 19:436–446
Daniel J, Berry MD†, David G, Lewallen MD†, Arlen D, Hanssen MD†, Miguel E, Cabanela MD† (1999) Pelvic discontinuity in revision total hip arthroplasty. J Bone Joint Surg Am 81:1692–1702
D’Antonio JA, Capello WN, Borden LS, Bargar WL, Bierbaum BF, Boettcher WG, Steinberg ME, Stulberg SD, Wedge JH (1989) Classification and management of acetabular abnormalities in total hip arthroplasty. Clin Orthop Relat Res 243:126–137
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Ruatti, S., Grimaldi, M. & Saragaglia, D. Section of the sciatic nerve by a metal acetabulum reinforcement ring: a literature review through one case. Eur J Orthop Surg Traumatol 22 (Suppl 1), 117–120 (2012). https://doi.org/10.1007/s00590-011-0878-7
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DOI: https://doi.org/10.1007/s00590-011-0878-7