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Case Report
- Delayed Sciatic Nerve Palsy due to Hematoma Related with Anticoagulants Prophylaxis in the Femur Intramedullary Nailing: A Case Report
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Young Mo Kim, M.D., Ph.D.
, Yong Bum Joo, M.D., Ph.D., Seok Hwan Song, M.D. -
Journal of the Korean Fracture Society 2017;30(4):198-202.
DOI: https://doi.org/10.12671/jkfs.2017.30.4.198
Published online: October 25, 2017
Department of Orthopaedic Surgery, Chungnam National University School of Medicine, Daejeon, Korea.
- Correspondence to: Yong Bum Joo, M.D., Ph.D. Department of Orthopaedic Surgery, Chungnam National University Hospital, 282 Munhwa-ro, Jung-gu, Daejeon 35015, Korea. Tel: +82-42-338-2412, Fax: +82-42-338-2480, ybjoo@cnu.ac.kr
• Received: July 19, 2017 • Revised: August 11, 2017 • Accepted: August 28, 2017
Copyright © 2017 The Korean Fracture Society. All rights reserved.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
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Abstract
- Femur intramedullary nailing can be one of the most predictable procedures in orthopedic traumatology. The advantage of this method is that the fracture site does not have to be widely exposed for reduction, which can minimize soft tissue damage. For this reason, the incidence of complications related to hematoma has been rare. We experienced only one case of sciatic nerve palsy due to hematoma after intramedullary nailing; the patient was receiving an anticoagulant therapy. Therefore, we report this case with literature review.
- 1. Court-Brown CM, Heckman JD, McQueen MM, Ricci WM, Tornetta P III. Rockwood and Green's fractures in adults. 8th ed. Philadelphia: Wolters Kluwer Health; 2015. p. 2149-2228.
- 2. Shane E, Burr D, Ebeling PR, et al. Atypical subtrochanteric and diaphyseal femoral fractures: report of a task force of the American Society for Bone and Mineral Research. J Bone Miner Res, 2010;25:2267-2294.
- 3. Karkos CD, Hughes R, Prasad V, D'Souza SP. Thigh compartment syndrome as a result of a false aneurysm of the profunda femoris artery complicating fixation of an intertrochanteric fracture. J Trauma, 1999;47:393-395.
- 4. Grimaldi M, Courvoisier A, Tonetti J, Vouaillat H, Merloz P. Superficial femoral artery injury resulting from intertrochanteric hip fracture fixation by a locked intramedullary nail. Orthop Traumatol Surg Res, 2009;95:380-382.
- 5. Weil Y, Mattan Y, Goldman V, Liebergall M. Sciatic nerve palsy due to hematoma after thrombolysis therapy for acute pulmonary embolism after total hip arthroplasty. J Arthroplasty, 2006;21:456-459.
- 6. Beksaç BP, Della Valle AG, Salvati EA. Acute sciatic nerve palsy as a delayed complication of low-molecular-weight heparin prophylaxis after total hip arthroplasty. Am J Orthop (Belle Mead NJ), 2009;38:E28-E30.
- 7. Butt AJ, McCarthy T, Kelly IP, Glynn T, McCoy G. Sciatic nerve palsy secondary to postoperative haematoma in primary total hip replacement. J Bone Joint Surg Br, 2005;87:1465-1467.
- 8. Ben-David B, Joshi R, Chelly JE. Sciatic nerve palsy after total hip arthroplasty in a patient receiving continuous lumbar plexus block. Anesth Analg, 2003;97:1180-1182.
- 9. Leonard MA. Sciatic nerve paralysis following anticoagulant therapy. J Bone Joint Surg Br, 1972;54:152-153.
- 10. Uzun M, Beksaç B, Tözün R. Delayed acute sciatic nerve palsy as a complication of bridging chemothromboprophylaxis following hip hemiarthroplasty: a case report. JBJS Case Connect, 2013;3:e134.
REFERENCES
Fig. 1
Plain radiographs of a 75-year-old female with femur shaft fracture. Anteroposterior (A) and lateral (B) view.
Fig. 2
Internal fixation was performed using a standard intramedullary nail, Anteroposterior (A) and lateral (B) view.
Fig. 3
Postoperative 10 days, acute sciatic nerve palsy symptoms appeared related to a huge hematoma lesion. (A) Axial computed tomography images showing a hematoma with a size of greater than 10 cm on the gluteus medius muscle. (B) Coronal computed tomography angiography showed bleeding (white arrow) at the branch of the superior gluteal artery.
Figure & Data
REFERENCES
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Citations to this article as recorded by 
- Ipsilateral Foot Drop After Leg Traction on Fracture Table for Mid-Shaft Femur Fracture Nailing: A Rare Case Report
Jehad A Alzahrani, Ahmed A Alabdali, Mohammed O Albariqi
Cureus.2023;[Epub] CrossRef
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XML DownloadDelayed Sciatic Nerve Palsy due to Hematoma Related with Anticoagulants Prophylaxis in the Femur Intramedullary Nailing: A Case Report
Fig. 1
Plain radiographs of a 75-year-old female with femur shaft fracture. Anteroposterior (A) and lateral (B) view.
Fig. 2
Internal fixation was performed using a standard intramedullary nail, Anteroposterior (A) and lateral (B) view.
Fig. 3
Postoperative 10 days, acute sciatic nerve palsy symptoms appeared related to a huge hematoma lesion. (A) Axial computed tomography images showing a hematoma with a size of greater than 10 cm on the gluteus medius muscle. (B) Coronal computed tomography angiography showed bleeding (white arrow) at the branch of the superior gluteal artery.
Fig. 4
Bleeding at the branch of the superior gluteal artery was observed (white arrow). Transarterial embolization was performed using a coil.
Fig. 5
Intraoperative photographs. Hematoma existed between gluteus maximus and medius muscle. A large amount of hematoma was evacuated.
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Fig. 5
Delayed Sciatic Nerve Palsy due to Hematoma Related with Anticoagulants Prophylaxis in the Femur Intramedullary Nailing: A Case Report
