Sciatic nerve palsy due to hematoma after thrombolysis therapy for acute pulmonary embolism after total hip arthroplasty

The Journal of Arthroplasty
Yoram WeilMeir Liebergall

Abstract

Sciatic nerve paralysis as a complication of bleeding due to hip surgery is a rare entity. The use of thrombolysis and full-dose heparin administration for the treatment of massive pulmonary embolism increase the risk for developing major bleeding. Prompt recognition and intervention in this condition are warranted. A case of sciatic nerve palsy due to expanding thigh hematoma as a complication of thrombolytic therapy for pulmonary embolism after total hip arthroplasty is presented with a literature review. Although rare, this complication should be promptly recognized and immediate decompression should take place because of the favorable results of the early treatment.

References

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Citations

Nov 26, 2013·Journal of Thrombosis and Thrombolysis·Martin FreyerJosef G Heckmann
Nov 1, 2012·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·S RuattiD Saragaglia
Nov 28, 2012·Physical Medicine and Rehabilitation Clinics of North America·B Jane Distad, Michael D Weiss
Jan 3, 2013·Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists·Sladjana Z UgrenovicTamara Simic
Dec 7, 2007·Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists·Effrossyni Georgakis, Roger Soames
Sep 7, 2007·The Canadian Journal of Neurological Sciences. Le Journal Canadien Des Sciences Neurologiques·Erin K O'FerrallCory Toth
Feb 6, 2020·JBJS Reviews·Sravya P VajapeyAndrew H Glassman

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