Compression of the sciatic nerve by wear debris following total hip replacement: a report of three cases.
Pain in the distribution of the sciatic nerve is common in the elderly. In the presence of a long-standing joint replacement, consideration should be given as to whether compression might be due to an extraspinal cause. We present three women, in whom a mass of wear debris from a previous total hip replacement caused compression of the sciatic nerve posterior to the hip. The symptoms were relieved immediately following operation.
Crawford
J R
JR
Department of Trauma and Orthopaedics, Ipswich Hospital NHS Trust, Suffolk, England.
Van Rensburg
L
L
Marx
C
C
D000368:Aged; D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects*; D005260:Female; D006622:Hip Prosthesis / Q000009:adverse effects*; D006801:Humans; D008875:Middle Aged; D009408:Nerve Compression Syndromes / Q000209:etiology* / Q000601:surgery; D011475:Prosthesis Failure; D012086:Reoperation; D020426:Sciatic Neuropathy / Q000209:etiology* / Q000601:surgery