Sakai Takashi, Sugano Nobuhiko, Fujii Masakazu, Nishii Takashi, Ohzono Kenji, Yoshikawa Hideki
Department of Orthopaedic Surgery, Ikeda Municipal Hospital, 3-1-18 Johnan, Ikeda, Osaka 563-8510, Japan.
J Orthop Sci. 2002;7(3):400-2. doi: 10.1007/s007760200067.
This is a case report of sciatic nerve palsy after total hip arthroplasty. Although the patient's symptoms became worse postoperatively, full recovery occurred after shortening of the calcar and femoral neck length. For acute sciatic nerve palsy patients with worsening of symptoms in the postoperative course in spite of hip and knee flexion, reexposure for early recognition of the sciatic nerve condition and reoperation by shortening the femoral neck may be an option.
这是一例全髋关节置换术后坐骨神经麻痹的病例报告。尽管患者术后症状加重,但在缩短股骨距和股骨颈长度后实现了完全康复。对于术后病程中症状恶化的急性坐骨神经麻痹患者,尽管髋关节和膝关节有屈曲,再次暴露以早期识别坐骨神经状况并通过缩短股骨颈进行再次手术可能是一种选择。