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Sciatic nerve palsy secondary to post-operative haematoma in primary total hip replacement
- Article from:
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Journal of Bone and Joint Surgery
- Article date:
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November 1, 2005
- Author:
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Copyright informationCopyright British Editorial Society of Bone & Joint Surgery Nov 2005. Provided by ProQuest LLC. (Hide copyright information)
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Sciatic nerve palsy is a recognised complication of primary total hip replacement. In our unit this complication was rare with an incidence of < 0.2% in the past ten years. We describe six cases of sciatic nerve palsy occurring in 355 consecutive primary total hip replacements (incidence 1.69%). Each of these palsies was caused by post-operative haematoma in the region of the sciatic nerve.
Cases, which were recognised early and surgically-evacuated promptly, showed earlier and more complete recovery. Those patients for whom the diagnosis was delayed, and who were therefore managed expectantly, showed little or no recovery. Unexpected pain and significant swelling in the buttock, as well ...