Sciatic Nerve Palsy following Total Hip Replacement via Direct Anterior Approach after Recommencement of Warfarin for Prophylaxis in Atrial Fibrillation
The occurrence of sciatic nerve palsy following posterior and anterolateral approaches to the hip has been well documented and is about 1-2%. To our knowledge, however, there are no reports of sciatic nerve palsy occurring secondary to the anterior approach to the hip for arthroplasty. We describe...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2014/810481 |
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| author | Vipin Asopa Shafic Al-Nammari Tony Spriggins Tony Menz Adrian Bauze |
| author_facet | Vipin Asopa Shafic Al-Nammari Tony Spriggins Tony Menz Adrian Bauze |
| author_sort | Vipin Asopa |
| collection | DOAJ |
| description | The occurrence of sciatic nerve palsy following posterior and anterolateral approaches to the hip has been well documented and is about 1-2%. To our knowledge, however, there are no reports of sciatic nerve palsy occurring secondary to the anterior approach to the hip for arthroplasty. We describe a case of sciatic nerve palsy secondary to haematoma formation following total hip replacement through the anterior approach. The recommencement of warfarin for prophylaxis against atrial fibrillation is thought to have been a contributing factor. Full recovery is rare following delayed diagnosis and early recognition of the signs of pain, parasthesia, and gradual loss of dorsiflexion and prompt drainage may reverse the condition. We advise caution with restarting warfarin following total hip arthroplasty. |
| format | Article |
| id | doaj-art-2b817c978d8341f9b1062d79b93c8d72 |
| institution | Kabale University |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-2b817c978d8341f9b1062d79b93c8d722025-08-20T03:54:56ZengWileyCase Reports in Orthopedics2090-67492090-67572014-01-01201410.1155/2014/810481810481Sciatic Nerve Palsy following Total Hip Replacement via Direct Anterior Approach after Recommencement of Warfarin for Prophylaxis in Atrial FibrillationVipin Asopa0Shafic Al-Nammari1Tony Spriggins2Tony Menz3Adrian Bauze4Sportsmed.SA, 32 Payneham Road, Stepney, Adelaide, SA 5069, AustraliaSportsmed.SA, 32 Payneham Road, Stepney, Adelaide, SA 5069, AustraliaSportsmed.SA, 32 Payneham Road, Stepney, Adelaide, SA 5069, AustraliaSportsmed.SA, 32 Payneham Road, Stepney, Adelaide, SA 5069, AustraliaSportsmed.SA, 32 Payneham Road, Stepney, Adelaide, SA 5069, AustraliaThe occurrence of sciatic nerve palsy following posterior and anterolateral approaches to the hip has been well documented and is about 1-2%. To our knowledge, however, there are no reports of sciatic nerve palsy occurring secondary to the anterior approach to the hip for arthroplasty. We describe a case of sciatic nerve palsy secondary to haematoma formation following total hip replacement through the anterior approach. The recommencement of warfarin for prophylaxis against atrial fibrillation is thought to have been a contributing factor. Full recovery is rare following delayed diagnosis and early recognition of the signs of pain, parasthesia, and gradual loss of dorsiflexion and prompt drainage may reverse the condition. We advise caution with restarting warfarin following total hip arthroplasty.http://dx.doi.org/10.1155/2014/810481 |
| spellingShingle | Vipin Asopa Shafic Al-Nammari Tony Spriggins Tony Menz Adrian Bauze Sciatic Nerve Palsy following Total Hip Replacement via Direct Anterior Approach after Recommencement of Warfarin for Prophylaxis in Atrial Fibrillation Case Reports in Orthopedics |
| title | Sciatic Nerve Palsy following Total Hip Replacement via Direct Anterior Approach after Recommencement of Warfarin for Prophylaxis in Atrial Fibrillation |
| title_full | Sciatic Nerve Palsy following Total Hip Replacement via Direct Anterior Approach after Recommencement of Warfarin for Prophylaxis in Atrial Fibrillation |
| title_fullStr | Sciatic Nerve Palsy following Total Hip Replacement via Direct Anterior Approach after Recommencement of Warfarin for Prophylaxis in Atrial Fibrillation |
| title_full_unstemmed | Sciatic Nerve Palsy following Total Hip Replacement via Direct Anterior Approach after Recommencement of Warfarin for Prophylaxis in Atrial Fibrillation |
| title_short | Sciatic Nerve Palsy following Total Hip Replacement via Direct Anterior Approach after Recommencement of Warfarin for Prophylaxis in Atrial Fibrillation |
| title_sort | sciatic nerve palsy following total hip replacement via direct anterior approach after recommencement of warfarin for prophylaxis in atrial fibrillation |
| url | http://dx.doi.org/10.1155/2014/810481 |
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