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J Plast Reconstr Aesthet Surg. 2010 Apr;63(4):e400-1. doi: 10.1016/j.bjps.2009.10.014. Epub 2009 Nov 26.

Sciatic nerve palsy--a complication of posterior approach using enhanced soft tissue repair for total hip arthroplasty.

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Welsh Centre for Burns and Plastic Surgery, Morriston Hospital, Swansea, Wales SA6 6NL, UK.


Sciatic nerve palsy is a rare but well recognised complication of total hip replacement. There are a variety of potential causes of sciatic nerve palsy and its prevalence with different approaches has been mentioned in the literature.(1-5) The posterolateral or 'Southern' approach with some form of enhanced soft tissue repair is a commonly used approach for primary total hip arthroplasty. However, the sciatic nerve is recognised to be in close proximity to the surgical field. We report a case of sciatic nerve palsy after this approach as a result of a surgical suture used for soft tissue repair.

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