Neurolysis for the treatment of sciatic nerve palsy associated with total hip arthroplasty.
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| Abstract |
Sciatic nerve palsy following total hip arthroplasty (THA) is a relatively rare yet potentially devastating complication. The purpose of this case series was to report the results of patients with a sciatic nerve palsy who presented between 2000 and 2010, following primary and revision THA and were treated with neurolysis. A retrospective review was made of 12 patients (eight women and four men), with sciatic nerve palsy following THA. The mean age of the patients was 62.7 years (50 to 72; standard deviation 6.9). They underwent interfascicular neurolysis for sciatic nerve palsy, after failing a trial of non-operative treatment for a minimum of six months. Following surgery, a statistically and clinically significant improvement in motor function was seen in all patients. The mean peroneal nerve score function improved from 0.42 (0 to 3) to 3 (1 to 5) (p < 0.001). The mean tibial nerve motor function score improved from 1.75 (1 to 4) to 3.92 (3 to 5) (p = 0.02).The mean improvement in sensory function was a clinically negligible 1 out of 5 in all patients. In total, 11 patients reported improvement in their pain following surgery. We conclude that neurolysis of the sciatic nerve has a favourable prognosis in patients with a sciatic nerve palsy following THA. Our findings suggest that surgery should not be delayed for > 12 months following injury.
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| Authors | G J Regev, M Drexler, R Sever, T Dwyer, M Khashan, Z Lidar, K Salame, S Rochkind |
| Journal | The bone & joint journal (Bone Joint J) Vol. 97-B Issue 10 Pg. 1345-9 (Oct 2015) ISSN: 2049-4408 [Electronic] England |
| PMID | 26430008 (Publication Type: Journal Article) |
| Copyright | ©2015 The British Editorial Society of Bone & Joint Surgery. |
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