股骨近端骨折髓内钉固定时，因在股骨颈周围放置夹具而导致的医源性坐骨神经损伤。
Iatrogenic sciatic nerve injury secondary to clamp placement around the femoral neck during proximal femoral fracture intramedullary nailing.
作者信息
Chloros George D, Giannoudis Vasileios P, Giannoudis Peter V
机构信息
Academic Department of Trauma and Orthopaedics, School of Medicine, University of Leeds, United Kingdom.
NIHR Leeds Biomedical Research Center, Chapel Allerton Hospital, Leeds, United Kingdom.
出版信息
Trauma Case Rep. 2021 Sep 6;35:100532. doi: 10.1016/j.tcr.2021.100532. eCollection 2021 Oct.
Abstract
- 20-year-old male road-traffic accident - Sustained right acetabulum fracture, left proximal femur fracture, right patella fracture and pulmonary contusions - Had fixation within 4 days of his left proximal femur fracture and his right acetabulum:-Following fixation of his left femur fracture, developed symptoms of complete left sciatic nerve palsy.-At the time of surgery, a heygroves clamp around the neck of the femur was used to assist in the reduction of the fracture.-Subsequent exploration of the sciatic nerve showed several clamp indentations on it but fascicles in continuity. - Nerve conduction studies at 4 months post-operatively confirmed a high sciatic nerve injury. - The patient has still not recovered any function 1 year post-operatively.
摘要
20岁男性，道路交通事故——右侧髋臼骨折、左侧股骨近端骨折、右侧髌骨骨折及肺挫伤——左侧股骨近端骨折和右侧髋臼骨折后4天内进行了固定手术：
左侧股骨骨折固定后，出现左侧坐骨神经完全麻痹症状。
手术时，使用海格罗夫斯钳夹在股骨颈周围以协助骨折复位。
随后对坐骨神经进行探查，发现神经上有多处钳夹压痕，但神经束连续。
术后4个月的神经传导研究证实为高位坐骨神经损伤。
术后1年患者仍未恢复任何功能。
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