Iatrogenic sciatic nerve injury secondary to clamp placement around the femoral neck during proximal femoral fracture intramedullary nailing. (October 2021)

• Record Type: Journal Article
• Authors: Chloros, George D.; Giannoudis, Vasileios P.; Giannoudis, Peter V.
• Is Part Of: Trauma case reports. Volume 35(2021)
• Publication Date: 2021-10
• Subjects: Femoral fracture -- Sciatic nerve -- Nerve palsy -- Clamp; Wounds and injuries -- Periodicals; Traumatology -- Periodicals; 617.1005
• DOI: 10.1016/j.tcr.2021.100532
• Languages: English
• ISSNs: 2352-6440

Abstract

Abstract: - 20-year-old male road-traffic accident - Sustained right acetabulum fracture, left proximal femur fracture, right patella fracture and pulmonary contusions - Had fixation within 4 days of his left proximal femur fracture and his right acetabulum: - Following fixation of his left femur fracture, developed symptoms of complete left sciatic nerve palsy. - At the time of surgery, a heygroves clamp around the neck of the femur was used to assist in the reduction of the fracture. - Subsequent exploration of the sciatic nerve showed several clamp indentations on it but fascicles in continuity. - Nerve conduction studies at 4 months post-operatively confirmed a high sciatic nerve injury. - The patient has still not recovered any function 1 year post-operatively.