Linked Life Data

6627788

Source:http://linkedlifedata.com/resource/pubmed/id/6627788

Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
180
pubmed:dateCreated
1983-12-17
pubmed:abstractText
In an 81-year-old woman the sciatic nerve was inadvertently penetrated with the trochanteric wire and incorporated into the trochanteric wiring during trochanteric attachment in total hip arthroplasty through a transtrochanteric approach. Immediately after operation, the patient had a sciatic palsy. Exploration of the wound revealed that the nerve had been entrapped in the trochanteric wiring mechanism. Despite release of the nerve and neurolysis, symptoms persisted, and the patient had a complete sciatic palsy that has not recovered. The technical aspects of total hip arthroplasty utilizing trochanteric osteotomy should include internal rotation of the femur during insertion of trochanteric wire so that the posterior aspects of the hip joint and the femoral shaft can be fully observed. Similarly, all wire should be free of any soft tissue prior to twisting and tightening. Patients awakening with profound and immediate sciatic involvement should be explored early to determine the cause as well as to alleviate any possible impingement that might interfere with the prognosis of this very serious injury.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
AIM
pubmed:status
MEDLINE
pubmed:month
Nov
pubmed:issn
0009-921X
pubmed:author
pubmed:issnType
Print
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
198-200
pubmed:dateRevised
2005-3-3
pubmed:meshHeading
pubmed:year
1983
pubmed:articleTitle
Sciatic nerve entrapment secondary to trochanteric wiring following total hip arthroplasty. A case report.
pubmed:publicationType
Journal Article, Case Reports