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Delayed sciatic nerve palsy following total hip arthroplasty.

B Cohen1, M Bhamra, B D Ferris

  • 1Whittington Hospital, London.

The British Journal of Clinical Practice
|January 1, 1991
PubMed
Summary
This summary is machine-generated.

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Delayed sciatic nerve palsy is a rare complication after total hip arthroplasty. This report details two new cases, highlighting this infrequent neurological issue occurring 72 hours post-surgery.

Area of Science:

  • Orthopedic Surgery
  • Neurology

Background:

  • Peripheral neuropathy occurs in 0.7% of total hip arthroplasty (THA) cases.
  • Delayed sciatic nerve palsy is an exceptionally rare complication following THA, with only two prior documented instances.

Observation:

  • This report presents two additional cases of delayed sciatic nerve palsy.
  • Both patients developed symptoms 72 hours after undergoing total hip arthroplasty.

Findings:

  • The incidence of delayed sciatic nerve palsy post-THA is extremely low.
  • Sciatic nerve palsy can manifest several days after hip replacement surgery.

Implications:

  • Increased awareness of this rare complication is crucial for orthopedic surgeons.
  • Prompt diagnosis and management are essential for patients experiencing post-operative neurological deficits.

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