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Sacral plexopathy and sciatic neuropathy after total knee arthroplasty
1Department of Physical Medicine and Rehabilitation, Medical College of Ohio, Toledo, USA.
Electromyography and Clinical Neurophysiology
|November 11, 1998
Summary
Bilateral total knee arthroplasty (TKA) can rarely lead to sacral plexopathy and sciatic neuropathy. This case report details the diagnosis and management of these uncommon nerve complications following TKA.
Area of Science:
- Neurology
- Orthopedic Surgery
Background:
- Peroneal and tibial neuropathies are known complications of total knee arthroplasty (TKA).
- Literature review revealed no prior reports of sacral plexopathy or sciatic neuropathy post-TKA.
Observation:
- A patient presented with neurological deficits after undergoing bilateral TKA.
- Diagnostic evaluation indicated a right sacral plexopathy and a left sciatic neuropathy.
Findings:
- The patient's symptoms were attributed to sacral plexopathy and sciatic neuropathy.
- These nerve injuries were identified as potential, albeit rare, complications following bilateral TKA.
Implications:
- This case highlights the possibility of sacral plexopathy and sciatic neuropathy as rare complications of TKA.
- Increased awareness among clinicians may aid in the timely diagnosis and management of these nerve injuries.