Early palsy of the sciatic nerve due to heterotopic ossification after surgery for fracture of the posterior wall of the acetabulum

N. Manidakis; N. K. Kanakaris; V. S. Nikolaou; P. V. Giannoudis

doi:10.1302/0301-620X.91B2.21183

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Early palsy of the sciatic nerve due to heterotopic ossification after surgery for fracture of the posterior wall of the acetabulum

N. Manidakis
N. K. Kanakaris
V. S. Nikolaou
P. V. Giannoudis

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Early palsy of the sciatic nerve due to heterotopic ossification after surgery for fracture of the posterior wall of the acetabulum

Manidakis N, Kanakaris NK, Nikolaou VS, Giannoudis PV. Early palsy of the sciatic nerve due to heterotopic ossification after surgery for fracture of the posterior wall of the acetabulum. J Bone Joint Surg Br. 2009;91-B(2):253-257. doi:10.1302/0301-620X.91B2.21183

Manidakis, N., et al. “Early palsy of the sciatic nerve due to heterotopic ossification after surgery for fracture of the posterior wall of the acetabulum.” The Journal of Bone & Joint Surgery British Volume, vol. 91-B, no. 2, 2009, pp. 253-257., https://doi.org/10.1302/0301-620X.91B2.21183

Manidakis, N., Kanakaris, N. K., Nikolaou, V. S., & Giannoudis, P. V. (2009). Early palsy of the sciatic nerve due to heterotopic ossification after surgery for fracture of the posterior wall of the acetabulum. The Journal of Bone & Joint Surgery British Volume, 91-B(2), 253-257. https://doi.org/10.1302/0301-620X.91B2.21183

Manidakis, N., Kanakaris, N. K., Nikolaou, V. S. and Giannoudis, P. V. (2009) “Early palsy of the sciatic nerve due to heterotopic ossification after surgery for fracture of the posterior wall of the acetabulum.” The Journal of Bone & Joint Surgery British Volume, 91-B(2), pp. 253-257. Available at: https://doi.org/10.1302/0301-620X.91B2.21183

Manidakis, N., N. K. Kanakaris, V. S. Nikolaou, and P. V. Giannoudis. “Early palsy of the sciatic nerve due to heterotopic ossification after surgery for fracture of the posterior wall of the acetabulum.” The Journal of Bone & Joint Surgery British Volume 91-B, no. 2 (2009): 253-257. https://doi.org/10.1302/0301-620X.91B2.21183

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Abstract

We describe a patient in whom an initially intact sciatic nerve became rapidly encased in heterotopic bone formed in the abductor compartment after reconstruction of the posterior wall of the acetabulum following fracture. Prompt excision and neural release followed by irradiation and administration of indometacin resulted in a full neurological recovery and no recurrence 27 months later.

Correspondence should be sent to Professor P. V. Giannoudis; e-mail: pgiannoudi@aol.com

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Journal

The Journal of Bone & Joint Surgery British Volume

Volume

91-B No.2 | Pages 253 - 257

Published

01 February 2009

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N. Manidakis

Specialist Registrar

Department of Trauma and Orthopaedic Surgery A Floor, Clarendon Wing, Leeds General Infirmary, Great George Street, Leeds LS1 3EX, West Yorkshire, UK.

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N. K. Kanakaris

Trauma Fellow

Department of Trauma and Orthopaedic Surgery A Floor, Clarendon Wing, Leeds General Infirmary, Great George Street, Leeds LS1 3EX, West Yorkshire, UK.

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V. S. Nikolaou

Trauma Fellow

Department of Trauma and Orthopaedic Surgery A Floor, Clarendon Wing, Leeds General Infirmary, Great George Street, Leeds LS1 3EX, West Yorkshire, UK.

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P. V. Giannoudis

Professor

Department of Trauma and Orthopaedic Surgery A Floor, Clarendon Wing, Leeds General Infirmary, Great George Street, Leeds LS1 3EX, West Yorkshire, UK.

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