title: External iliac artery thrombus masquerading as sciatic nerve palsy in anterior column fracture of the acetabulum.
abstract: We report a case of ischemic neuropathy of the sciatic nerve in a patient with an anterior column fracture of the acetabulum operated by ilioinguinal approach. It resulted from occlusion of the blood supply to the sciatic nerve. There were no signs of a vascular insult until ischemic changes ensued on the 6(th) postoperative day on the lateral part of great toe. The patient underwent crossover femoro-femoral bypass grafting and there was a complete reversal of the ischemic changes at 6 months. The sciatic nerve palsy continued to recover until the end of 1 year; by which time the only deficit was a Grade 4 power in the extensor hallucis longus (EHL) and the extensor digitorum longus (EDL). There was no further recovery at 2 years followup.
authors.affiliation: Department of Orthopaedics, Paraplegia and Rehabilitation, PGIMS, Rohtak, Haryana, India.
authors.forename: Narender Kumar
authors.initials: NK
authors.lastname: Magu
authors.affiliation: Department of Orthopaedics, Paraplegia and Rehabilitation, PGIMS, Rohtak, Haryana, India.
authors.forename: Paritosh
authors.initials: P
authors.lastname: Gogna
authors.affiliation: Department of Radiodiagnosis, PGIMS, Rohtak, Haryana, India.
authors.forename: Sarita
authors.initials: S
authors.lastname: Magu
authors.affiliation: Department of Cardiothoracic and Vascular Surgery, PGIMS, Rohtak, Haryana, India.
authors.forename: Ss
authors.initials: S
authors.lastname: Lohchab
keywords: Acetabulum; Anterior column fracture of acetabulum; external iliac artery thrombosis; ischemic neuropathy; sciatic nerve diseases. sciatic neuropathy; sciatic nerve palsy; thrombosis