A Rare Presentation of Sciatic Palsy Due to Hematoma After Use of the Kocher-Langenbeck Approach to the Acetabulum. Issue 1 (January 2015)

• Record Type: Journal Article
• Authors: Rog, Dominik; Basmajian, Hrayr G.
• Is Part Of: JBJS case connector. Volume 5:Issue 1(2015)
• Publication Date: 2015-01
• Subjects: Orthopedic surgery -- Case studies -- Periodicals; Orthopedic surgery -- Periodicals; Orthopedics; Orthopedic Procedures; Orthopedic surgery; Periodicals; Electronic journals; Case studies; Periodicals; 616.7
• DOI: 10.2106/JBJS.CC.N.00114
• Languages: English
• ISSNs: 2160-3251

Abstract

Abstract : Case: A delayed sciatic palsy caused by compression due to hematoma formation is a rare complication of total hip arthroplasty. We report the case of a twenty-seven-year-old man who underwent open reduction and internal fixation of transverse and posterior wall acetabular fractures with posterior hip dislocation and had development of a delayed sciatic palsy due to the formation of a hematoma five days after the procedure. Conclusion: A patient who presents with a delayed-onset sciatic palsy with signs and symptoms of a hematoma after an acetabular surgery represents a surgical emergency. Early recognition and urgent decompression offers the best chance of nerve recovery.