Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Sciatic nerve resection: is that truly an indication for amputation?

Jacob Bickels1, James C Wittig, Yehuda Kollender

  • 1National Unit of Orthopedic Oncology, Tel-Aviv Sourasky Medical Center, Sackler Faculty of Medicine, Tel-Aviv University, 6 Weizmann Street, Tel-Aviv 64239, Israel.

Clinical Orthopaedics and Related Research
|May 16, 2002
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Comparative complication rates of titanium vs carbon fiber intramedullary nails in pathologic long bone fractures: A systematic review and meta-analysis.

Journal of orthopaedics·2026
Same author

A modified Delphi consensus on periprosthetic infection in orthopaedic oncology : a report from the Birmingham Orthopaedic Oncology Meeting (BOOM).

The bone & joint journal·2025
Same author

What is debridement, antibiotics, and implant retention in orthopaedic oncology? : a global cross-sectional survey of surgeons' practices and opinions.

Bone & joint open·2025
Same author

Identifying consensus and areas for future research in chondrosarcoma : a report from the Birmingham Orthopaedic Oncology Meeting.

The bone & joint journal·2025
Same author

Radical Resection of a Radial Ewing Sarcoma and Ulnar Centralization in a 10-Month-Old Girl: A Case Report.

JBJS case connector·2025
Same author

Controversies in orthopaedic oncology.

The bone & joint journal·2024

Resecting the sciatic nerve during tumor removal can achieve good limb function, challenging the need for amputation. Most patients remain ambulatory, demonstrating the viability of limb-sparing surgery.

Area of Science:

  • Orthopedic Oncology
  • Surgical Neurology
  • Reconstructive Surgery

Background:

  • En bloc resection of the sciatic nerve was historically considered an amputation indication due to presumed poor functional outcomes.
  • Limb-sparing resections involving the sciatic nerve are increasingly performed, but functional outcome data are limited.

Purpose of the Study:

  • To report the functional outcomes of patients who underwent sciatic nerve resection for adjacent bone or soft tissue tumors.
  • To evaluate whether sciatic nerve resection necessitates amputation.

Main Methods:

  • Retrospective review of 15 patients (1991-1999) who had sciatic nerve resection.
  • Analysis of tumor diagnoses (soft tissue sarcomas, bone sarcomas, metastatic bone tumors) and locations (pelvis, buttock, posterior thigh).

Related Experiment Videos

  • Assessment of functional outcomes including ambulatory status, need for walking aids, and presence of complications like foot pressure sores.

    • Main Results:

    • 14 of 15 patients were ambulatory post-surgery; 7 required walking aids.
    • All patients developed peroneal nerve palsy and required a short-leg brace.
    • Overall functional outcomes were rated good in 11 patients, moderate in three, and poor in one.
    • No patients developed foot pressure sores or required secondary amputation.

    Conclusions:

    • Sciatic nerve resection in the context of tumor removal can achieve good functional outcomes.
    • Limb-sparing surgery involving the sciatic nerve is a viable alternative to amputation.
    • The necessity to resect the sciatic nerve should not automatically be considered an indication for amputation.