Operative Management of Sciatic Nerve Palsy due to Impingement on the Metal Cage after Total Hip Revision: Case Report

This paper discusses a sciatic nerve palsy developed after a right total hip revision with a Burch-Schneider metal cage. A sciatalgic nerve pain appeared after surgery, while the palsy developed in about fifteen days. An electromyography showed the delay of the nerve impulse gluteal level. During th...

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Main Authors: Alessandro Bistolfi, Giuseppe Massazza, Davide Deledda, Elisa Lioce, Maurizio Crova
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2011/830296
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author Alessandro Bistolfi
Giuseppe Massazza
Davide Deledda
Elisa Lioce
Maurizio Crova
author_facet Alessandro Bistolfi
Giuseppe Massazza
Davide Deledda
Elisa Lioce
Maurizio Crova
author_sort Alessandro Bistolfi
collection DOAJ
description This paper discusses a sciatic nerve palsy developed after a right total hip revision with a Burch-Schneider metal cage. A sciatalgic nerve pain appeared after surgery, while the palsy developed in about fifteen days. An electromyography showed the delay of the nerve impulse gluteal level. During the surgical exploration of the hip, a compression of the nerve on the metal cage was observed. The nerve was isolated, released from the fibrotic tissue and from the impingement, and was protected with a muscular flap. The recover from the pain was immediate, while the palsy recovered one month later.
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spelling doaj-art-a9a31a6cf96f40178bcae4e3e3d1c0ca2025-08-20T02:20:41ZengWileyCase Reports in Medicine1687-96271687-96352011-01-01201110.1155/2011/830296830296Operative Management of Sciatic Nerve Palsy due to Impingement on the Metal Cage after Total Hip Revision: Case ReportAlessandro Bistolfi0Giuseppe Massazza1Davide Deledda2Elisa Lioce3Maurizio Crova4Department of Orthopedics, Traumatology, and HM, CTO/M Adelaide Hospital, Turin, ItalyDepartment of Orthopedics, Traumatology, and HM, CTO/M Adelaide Hospital, Turin, ItalyUniversity of the Studies of Turin, Turin, ItalyUniversity of the Studies of Turin, Turin, ItalyDepartment of Orthopedics, Traumatology, and HM, CTO/M Adelaide Hospital, Turin, ItalyThis paper discusses a sciatic nerve palsy developed after a right total hip revision with a Burch-Schneider metal cage. A sciatalgic nerve pain appeared after surgery, while the palsy developed in about fifteen days. An electromyography showed the delay of the nerve impulse gluteal level. During the surgical exploration of the hip, a compression of the nerve on the metal cage was observed. The nerve was isolated, released from the fibrotic tissue and from the impingement, and was protected with a muscular flap. The recover from the pain was immediate, while the palsy recovered one month later.http://dx.doi.org/10.1155/2011/830296
spellingShingle Alessandro Bistolfi
Giuseppe Massazza
Davide Deledda
Elisa Lioce
Maurizio Crova
Operative Management of Sciatic Nerve Palsy due to Impingement on the Metal Cage after Total Hip Revision: Case Report
Case Reports in Medicine
title Operative Management of Sciatic Nerve Palsy due to Impingement on the Metal Cage after Total Hip Revision: Case Report
title_full Operative Management of Sciatic Nerve Palsy due to Impingement on the Metal Cage after Total Hip Revision: Case Report
title_fullStr Operative Management of Sciatic Nerve Palsy due to Impingement on the Metal Cage after Total Hip Revision: Case Report
title_full_unstemmed Operative Management of Sciatic Nerve Palsy due to Impingement on the Metal Cage after Total Hip Revision: Case Report
title_short Operative Management of Sciatic Nerve Palsy due to Impingement on the Metal Cage after Total Hip Revision: Case Report
title_sort operative management of sciatic nerve palsy due to impingement on the metal cage after total hip revision case report
url http://dx.doi.org/10.1155/2011/830296
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