Laceration of the Sciatic Nerve After Closed Reduction of a Dislocated Total Hip Arthroplasty

Autor: Josef E. Jolissaint, MD, Samuel L. Posey, MD, Carl L. Herndon, MD, Cody C. Wyles, MD, Andrew J. Clair, MD, Thomas K. Fehring, MD
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Arthroplasty Today, Vol 20, Iss , Pp 101104- (2023)
Druh dokumentu: article
ISSN: 2352-3441
DOI: 10.1016/j.artd.2023.101104
Popis: Sciatic nerve injury after closed reduction of a dislocated total hip arthroplasty (THA) is an exceedingly rare but tremendously devastating complication. Closed reduction is the standard of care and is typically associated with a low complication rate. There have only been seven sciatic nerve injuries after closed reduction of a dislocated THA reported in the literature, and none were secondary to nerve laceration. We report a case of sciatic nerve laceration after attempted closed reduction of a dislocated THA. This resulted in complete loss of sensory and motor sciatic nerve function. This case highlights the importance of a detailed neurologic examination before and after closed reduction of a dislocated total hip, the importance of using careful reduction maneuvers, and transitioning to open reduction when necessary.
Databáze: Directory of Open Access Journals