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Femoral nerve palsy due to iliacus hematoma occurred after primary total hip arthroplasty

  • Orthopaedic surgery
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Abstract

The perforation of the medial acetabular wall during total hip arthroplasty due to drilling is not uncommon. But, it has rarely been associated with serious adverse events. Here, we present a case report describing an iliacus hematoma with subsequent femoral nerve palsy after primary total hip arthroplasty in a 67-year-old woman who underwent primary total hip arthroplasty due to painful hip osteoarthritis. The diagnosis was made by pelvic magnetic resonance imaging. Conservative treatment was employed and the symptoms were resolved within 3 months. It should be borne in mind that femoral nerve palsy may occur after total hip arthroplasty. It may be due to a treatable cause, such as iliacus hematoma. So, pelvic MRI is recommended in such a condition, rather than just observation.

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Authors and Affiliations

  1. Faculty of Medicine, Department of Orthopedics and Traumatology, Florence Nightingale Hospital, Istanbul Science University, Abide-i Hürriyet Caddesi, No: 290, Şişli, Istanbul, Turkey

    Abdullah Gogus, Cagatay Ozturk, Mustafa Sirvanci, Mehmet Aydogan & Azmi Hamzaoglu

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  1. Abdullah Gogus
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  2. Cagatay Ozturk
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  3. Mustafa Sirvanci
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  4. Mehmet Aydogan
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  5. Azmi Hamzaoglu
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Correspondence to Cagatay Ozturk.

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Gogus, A., Ozturk, C., Sirvanci, M. et al. Femoral nerve palsy due to iliacus hematoma occurred after primary total hip arthroplasty. Arch Orthop Trauma Surg 128, 657–660 (2008). https://doi.org/10.1007/s00402-007-0489-2

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  • DOI: https://doi.org/10.1007/s00402-007-0489-2

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