Late sciatic nerve palsy caused by hematoma after primary total hip arthroplasty.
A case of late sciatic nerve palsy caused by subfascial hematoma after uncemented right total hip arthroplasty is reported. The patient developed respiratory distress 13 days postoperatively and was admitted to another institution, where she was diagnosed with pulmonary embolism and was subsequently therapeutically anticoagulated with heparin. The patient complained of right-leg numbness and tingling 18 days' postoperatively, which progressed to complete sciatic nerve palsy over several hours.
Austin
Matthew S
MS
Department of Orthopaedic Surgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania 19107, USA.
Klein
Gregg R
GR
Sharkey
Peter F
PF
Hozack
William J
WJ
Rothman
Richard H
RH
D000368:Aged; D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects*; D005260:Female; D006406:Hematoma / Q000150:complications* / Q000209:etiology / Q000601:surgery; D006801:Humans; D020426:Sciatic Neuropathy / Q000209:etiology*