Altamirano-Cruz MA, Cervantes-Orozco IE, Meza-Reyes GE

Language: Spanish
References: 12
Page: 129-133
PDF size: 614.26 Kb.

ABSTRACT

Introduction. Clinical lesion of the sciatic nerve is a complication of complete hip arthroplasty and its incidence will depend of the surgical approach used, creating important morbidity which highlights just how vulnerable trans surgical time is besides the importance of adequate tissue management, proper instrument use, and technique used to insert prosthetic and cementing components.
Material y Methods: A retrospective study was performed in the department of articular replacements in Traumatology and Orthopedics Hospital “Lomas Verdes” of the Mexican Social Security Institute, where electronic files (ARMED VMD®) of 1210 with total hip arthroplasty were analyzed from March 1st 2007 through March 1st 2009 in search of records of patients who presented sciatic nerve lesion showed by electromyography studies. Patients with sciatic nerve lesion not related to surgery were excluded from the study.
Results: Of the 1210 cases of total hip arthroplasty, 936 were intervened as primary surgery and the rest as a second surgery. 16 patients (1.32%) were found to present sciatic nerve lesion as a complication of surgery. Of these patients, 12 (75%) presented the lesion after the first surgery and the rest in the second revision surgery. Average age of all the patients included was 55.25 years. 87.5% of them were female. A total of 4 patients of the 274 who underwent revision surgery suffered sciatic nerve injury.
Discussion: Statistics from our service regarding sciatic nerve injury following total hip arthroplasty are lower than the average reported worldwide.

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