TITLE

Sciatic Nerve Release Following Fracture or Reconstructive Surgery of the Acetabulum

AUTHOR(S)
Issack, Paul S.; Kreshak, Jennifer; Klinger, Craig E.; Toro, Jose B.; Buly, Robert L.; Helfet, David L.
PUB. DATE
October 2008
SOURCE
Journal of Bone & Joint Surgery, American Volume;Oct2008 Supplement 2, Vol. 90-A, p227
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
BACKGROUND: Sciatic neuropathy associated with acetabular fractures can result in disabling long-term symptoms. The purpose of this retrospective study was to evaluate the effect of sciatic nerve release on sciatic neuropathy associated with acetabular fractures and reconstructive acetabular surgery. METHODS: Between 2000 and 2004, ten patients with sciatic neuropathy associated with an acetabular fracture were treated with release of the sciatic nerve from scar tissue and heterotopic bone. Additional surgical procedures included open reduction and internal fixation of the acetabulum (five patients), removal of hardware and total hip arthroplasty (three patients), and removal of hardware alone (one patient). The average age of the patients was forty-three years. All patients were followed with serial examinations and assessments for a minimum of one year (average, twenty-six months). RESULTS: All patients had partial to complete relief of radicular pain, of diminished sensation, and of paresthesias after the nerve release. Four of seven patients with motor loss and two of five patients with a footdrop demonstrated improvement in function after the nerve release. No patient had evidence of worsening on neurologic examination after the release. CONCLUSIONS: Sciatic nerve release during reconstructive acetabular surgery can decrease the sensory symptoms of pre- operative sciatic neuropathy associated with a previous acetabular fracture. Motor symptoms, however, are less likely to resolve following nerve release. LEVEL OF EVIDENCE: Therapeutic Level IV. See Instructions to Authors for a complete description of levels of evidence.
ACCESSION #
34787386

 

Related Articles

  • Clinical digest. Trial proves apremilast is effective long-term treatment for psoriasis.  // Nursing Standard;10/10/2012, Vol. 27 Issue 6, p14 

    The article discusses research in the article "Efficacy of Apremilast in the Treatment of Moderate to Severe Psoriasis: A Randomised Controlled Trial" by K. Papp et al. which found that the drug apremilast is effective for the long term treatment of psoriasis.

  • Clinical digest. Evidence supports wider use of tranexamic acid in traumatic bleeding.  // Nursing Standard;10/10/2012, Vol. 27 Issue 6, p15 

    The article discusses research in the article "Effect of Tranexamic Acid on Mortality in Patients With Traumatic Bleeding: Prespecified Analysis of Data From Randomised Controlled Trial" by I. Roberts et al. which found that tranexamic acid is safe and effective in treating traumatic bleeding.

  • Clinical digest. Most people treated for schizophrenia experience no lasting improvements in health.  // Nursing Standard;4/18/2012, Vol. 26 Issue 33, p14 

    The article discusses research which was published in the article "Sustained Favourable Long-Term Outcome in the Treatment of Schizophrenia: A 3-Year Prospective Observational Study" by G Cuyun Carter et al. and found that most people treated for schizophrenia experience no lasting improvements...

  • PERSPECTIVE. Hee Kit Wong // Orthopedics Today;Jul2011, Vol. 31 Issue 7, p26 

    The author comments on the study by Miyako Suzuki wherein Suzuki found that, in determining whether using local bone graft is as effective as iliac crest bone graft in case of L4 degenerative spondylolisthesis, there are fusion rates of 90% and 85%, respectively, in single-level instrumented cases.

  • Clinical digest. Surgery for epilepsy can enhance patients' overall long-term quality of life.  // Nursing Standard;3/7/2012, Vol. 26 Issue 27, p18 

    The article discusses research which was reported in the article "Impact of Epilepsy Surgery on Seizure Control and Quality of Life: A 26-Year Follow-Up Study" by H. S. Mohammed et al and found that surgery for epilepsy can enhance patients’ overall long-term quality of life.

  • Emergency Brake Response Time After First Metatarsal Osteotomy. Holt, G.; Kay, M.; McGrory, R.; Kumar, C. S. // Journal of Bone & Joint Surgery, American Volume;Aug2008, Vol. 90-A Issue 8, p1660 

    Background: There is sparse information upon which to recommend a return to activity after foot surgery. The purpose of this study was to determine whether six weeks is sufficient time for the emergency brake response time to return to preoperative levels after a first metatarsal osteotomy for...

  • Cementing Techniques for Hip Resurfacing Arthroplasty: Development of a Laboratory Model. Bitsch, Rudi G.; Loidolt, Travis; Heisel, Christian; Schmalzried, Thomas P. // Journal of Bone & Joint Surgery, American Volume;Aug2008 Supplement 3, Vol. 90-A, p102 

    Background: Hip resurfacing is extremely technique-sensitive, yet scientific investigations into cementing techniques are lacking. In this study, we tested open-cell, reticulated, carbon-foam materials in comparison with paired human femoral heads to validate a laboratory cementing model for...

  • Comparison of Arthrodesis and Metallic Hemiarthroplasty of the Hallux Metatarsophalangeal Joint. Raikin, Steven M.; Ahmad, Jamal // Journal of Bone & Joint Surgery, American Volume;Oct2008 Supplement 2, Vol. 90-A, p171 

    BACKGROUND: Currently, arthrodesis is the most commonly performed surgical procedure for the treatment of severe arthritis of the first metatarsophalangeal joint. The objective of this study was to compare the long-term clinical and radiographic outcomes of a metallic hemiarthroplasty with those...

  • Long-Term Independent Evaluation After Arthroscopic Extra-Articular Bankart Repair with Absorbable Tacks. Kartus, Catarina; Kartus, Jun; Matis, Nicholas; Forstner, Rosemarie; Resch, Herbert // Journal of Bone & Joint Surgery, American Volume;Oct2008 Supplement 2, Vol. 90-A, p262 

    BACKGROUND: Several arthroscopic methods have been developed to treat posttraumatic recurrent anterior shoulder instability in an attempt to match the results that can be achieved with open repair. The aim of this study was to perform an independent long-term clinical and radiographic evaluation...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics