Incidence of traumatic sciatic nerve injury in patients with acetabular fractures and factors affecting recovery: a retrospective study
Abstract Background Reports on traumatic sciatic nerve injury associated with acetabular fracture are rare. In this study, we investigated the demographics of these injuries, their clinical characteristics, management, and factors potentially influencing neurological recovery. Methods We retrospecti...
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| Format: | Article |
| Language: | English |
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BMC
2023-01-01
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| Series: | Journal of Orthopaedic Surgery and Research |
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| Online Access: | https://doi.org/10.1186/s13018-023-03515-z |
| _version_ | 1797952405954887680 |
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| author | Zhigang Liu Fulin Tao Weicheng Xu Fanxiao Liu Jinlei Dong Lianxin Li Zhenhai Hao Dongsheng Zhou Shun Lu |
| author_facet | Zhigang Liu Fulin Tao Weicheng Xu Fanxiao Liu Jinlei Dong Lianxin Li Zhenhai Hao Dongsheng Zhou Shun Lu |
| author_sort | Zhigang Liu |
| collection | DOAJ |
| description | Abstract Background Reports on traumatic sciatic nerve injury associated with acetabular fracture are rare. In this study, we investigated the demographics of these injuries, their clinical characteristics, management, and factors potentially influencing neurological recovery. Methods We retrospectively reviewed all patients diagnosed to have acetabular fracture at our trauma center between January 2014 and June 2021. Data on patient demographics, characteristics of sciatic nerve injury, neurological recovery, factors potentially influencing neurological recovery were analyzed. Results Eighteen patients (bilateral in one case) met the diagnostic criteria. All these injuries involved the posterior wall or posterior column, and most patients had posterior dislocation of the hip joint. Four of the 19 sides with traumatic sciatic nerve injury involved the common peroneal nerve division and 15 involved both the common peroneal and tibial nerve divisions. Seventeen patients (18 sides) underwent intraoperative nerve exploration, which revealed abnormalities in 7 sides and no obvious abnormality in 11 sides. At the last follow-up, 10 sides (52.6%) had complete recovery and 9 (47.4%) had partial recovery; the difference was statistically significant between those with or without abnormal nerve damage during exploration (P = 0.046). Linear regression analysis showed that a nerve abnormality detected intraoperatively was a predictor of nerve recovery (P = 0.009). The mean recovery time was significantly longer for partial recovery than for complete recovery (13.78 months vs. 6.70 months; P = 0.001). Conclusions All the injuries in this series involved the posterior wall or posterior column, and most patients had posterior dislocation of the hip joint. Damage to the common peroneal nerve division was more severe than that to the tibial nerve division preoperatively. However, the degree of recovery of the common peroneal division was not worse than that of the tibial division. There was a relationship between the degree of neurological recovery and whether there was an abnormality at the time of intraoperative nerve exploration. Patients with partial recovery took longer to recover. |
| first_indexed | 2024-04-10T22:46:55Z |
| format | Article |
| id | doaj.art-4809dcd86c604b91958245e3bb7879ab |
| institution | Directory Open Access Journal |
| issn | 1749-799X |
| language | English |
| last_indexed | 2024-04-10T22:46:55Z |
| publishDate | 2023-01-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Orthopaedic Surgery and Research |
| spelling | doaj.art-4809dcd86c604b91958245e3bb7879ab2023-01-15T12:16:53ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2023-01-011811810.1186/s13018-023-03515-zIncidence of traumatic sciatic nerve injury in patients with acetabular fractures and factors affecting recovery: a retrospective studyZhigang Liu0Fulin Tao1Weicheng Xu2Fanxiao Liu3Jinlei Dong4Lianxin Li5Zhenhai Hao6Dongsheng Zhou7Shun Lu8Department of Orthopaedics Surgery, Haining People’s HospitalDepartment of Orthopaedics Surgery, Shandong Provincial Hospital affiliated to Shandong First Medical UniversityDepartment of Orthopaedics Surgery, Shandong Provincial Hospital affiliated to Shandong First Medical UniversityDepartment of Orthopaedics Surgery, Shandong Provincial Hospital affiliated to Shandong First Medical UniversityDepartment of Orthopaedics Surgery, Shandong Provincial Hospital affiliated to Shandong First Medical UniversityDepartment of Orthopaedics Surgery, Shandong Provincial Hospital affiliated to Shandong First Medical UniversityDepartment of Orthopaedics Surgery, Shandong Provincial Hospital affiliated to Shandong First Medical UniversityDepartment of Orthopaedics Surgery, Shandong Provincial Hospital affiliated to Shandong First Medical UniversityDepartment of Orthopaedics Surgery, Shandong Provincial Hospital affiliated to Shandong First Medical UniversityAbstract Background Reports on traumatic sciatic nerve injury associated with acetabular fracture are rare. In this study, we investigated the demographics of these injuries, their clinical characteristics, management, and factors potentially influencing neurological recovery. Methods We retrospectively reviewed all patients diagnosed to have acetabular fracture at our trauma center between January 2014 and June 2021. Data on patient demographics, characteristics of sciatic nerve injury, neurological recovery, factors potentially influencing neurological recovery were analyzed. Results Eighteen patients (bilateral in one case) met the diagnostic criteria. All these injuries involved the posterior wall or posterior column, and most patients had posterior dislocation of the hip joint. Four of the 19 sides with traumatic sciatic nerve injury involved the common peroneal nerve division and 15 involved both the common peroneal and tibial nerve divisions. Seventeen patients (18 sides) underwent intraoperative nerve exploration, which revealed abnormalities in 7 sides and no obvious abnormality in 11 sides. At the last follow-up, 10 sides (52.6%) had complete recovery and 9 (47.4%) had partial recovery; the difference was statistically significant between those with or without abnormal nerve damage during exploration (P = 0.046). Linear regression analysis showed that a nerve abnormality detected intraoperatively was a predictor of nerve recovery (P = 0.009). The mean recovery time was significantly longer for partial recovery than for complete recovery (13.78 months vs. 6.70 months; P = 0.001). Conclusions All the injuries in this series involved the posterior wall or posterior column, and most patients had posterior dislocation of the hip joint. Damage to the common peroneal nerve division was more severe than that to the tibial nerve division preoperatively. However, the degree of recovery of the common peroneal division was not worse than that of the tibial division. There was a relationship between the degree of neurological recovery and whether there was an abnormality at the time of intraoperative nerve exploration. Patients with partial recovery took longer to recover.https://doi.org/10.1186/s13018-023-03515-zAcetabular fracturesTraumatic sciatic nerve injuryNerve recovery |
| spellingShingle | Zhigang Liu Fulin Tao Weicheng Xu Fanxiao Liu Jinlei Dong Lianxin Li Zhenhai Hao Dongsheng Zhou Shun Lu Incidence of traumatic sciatic nerve injury in patients with acetabular fractures and factors affecting recovery: a retrospective study Journal of Orthopaedic Surgery and Research Acetabular fractures Traumatic sciatic nerve injury Nerve recovery |
| title | Incidence of traumatic sciatic nerve injury in patients with acetabular fractures and factors affecting recovery: a retrospective study |
| title_full | Incidence of traumatic sciatic nerve injury in patients with acetabular fractures and factors affecting recovery: a retrospective study |
| title_fullStr | Incidence of traumatic sciatic nerve injury in patients with acetabular fractures and factors affecting recovery: a retrospective study |
| title_full_unstemmed | Incidence of traumatic sciatic nerve injury in patients with acetabular fractures and factors affecting recovery: a retrospective study |
| title_short | Incidence of traumatic sciatic nerve injury in patients with acetabular fractures and factors affecting recovery: a retrospective study |
| title_sort | incidence of traumatic sciatic nerve injury in patients with acetabular fractures and factors affecting recovery a retrospective study |
| topic | Acetabular fractures Traumatic sciatic nerve injury Nerve recovery |
| url | https://doi.org/10.1186/s13018-023-03515-z |
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