Welsh Centre for Burns and Plastic Surgery, Morriston Hospital, Swansea, Wales SA6 6NL, UK.
J Plast Reconstr Aesthet Surg. 2010 Apr;63(4):e400-1. doi: 10.1016/j.bjps.2009.10.014. Epub 2009 Nov 26.
Sciatic nerve palsy is a rare but well recognised complication of total hip replacement. There are a variety of potential causes of sciatic nerve palsy and its prevalence with different approaches has been mentioned in the literature.(1-5) The posterolateral or 'Southern' approach with some form of enhanced soft tissue repair is a commonly used approach for primary total hip arthroplasty. However, the sciatic nerve is recognised to be in close proximity to the surgical field. We report a case of sciatic nerve palsy after this approach as a result of a surgical suture used for soft tissue repair.
坐骨神经麻痹是全髋关节置换术罕见但公认的并发症。坐骨神经麻痹有多种潜在的原因，不同手术入路的发病率在文献中已有报道。(1-5)后外侧或“南方”入路结合某种形式的增强软组织修复是初次全髋关节置换术常用的入路方法。然而，坐骨神经与手术区域毗邻。我们报告了一例因软组织修复用手术缝线导致该入路后发生坐骨神经麻痹的病例。
