search for


Fate of sciatic nerve palsy following hip arthroplasty
Med Biol Sci Eng 2019;2(1):12-16
Published online January 31, 2019
© 2019 Medical Biological Science and Engineering.

Woong Chae Na1*, Jeong Hoon Kang2*, Jung Woo Lee3*, Suenghwan Jo3*

Department of Orthopedic Surgery, 1Gwanju Suwan Hospital, Gwanju, 2Mokpo Christian Hospital, Mokpo, 3Chosun University Hospital, Gwangju, Korea
Correspondence to: Suenghwan Jo
Department of Orthopedic Surgery, Chosun University Hospital, 365 Pilmundae-ro, Dong-gu, Gwangju 61453, Korea
Tel: +82-62-220-3147 Fax: +82-62-226-3379 E-mail:
*These authors contributed equally to this work.
Received October 1, 2018; Revised November 12, 2018; Accepted November 13, 2018.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Sciatic nerve palsy is a rare complication that occur after total hip arthroplasty but clinically this can result in significant functional deficit. The previous literature suggests most of the sciatic nerve palsy symptom to improve after a few weeks to a few months but in the real clinical setting, the result may vary and the symptom maybe significantly prolonged and some may not fully recover to the original state. Therefore, the current study aims assessed the fate of the patients who developed sciatic nerve palsy from hip arthroplasty operation. The authors have also looked at potential risk factors for poor outcome. This is the first case series in the Korean literature and we are reporting the result with the literature review.
Keywords : Sciatic nerve; Palsy; Hip; Arthroplasty
  1. Brown GD, Swanson EA, Nercessian OA. Neurologic injuries after total hip arthroplasty. Am J Orthop (Belle Mead NJ) 2008;37:191-7.
  2. 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;87:1465-7.
    Pubmed CrossRef
  3. Simon JP, Van Delm I, Fabry G. Sciatic nerve palsy following hip surgery. Acta Orthop Belg 1993;59:156-62.
  4. Farrell CM, Springer BD, Haidukewych GJ, Morrey BF. Motor nerve palsy following primary total hip arthroplasty. J Bone Joint Surg Am 2005;87:2619-25.
    Pubmed CrossRef
  5. Park JH, Hozack B, Kim P, Norton R, Mandel S, Restrepo C, et al. Common peroneal nerve palsy following total hip arthroplasty: prognostic factors for recovery. J Bone Joint Surg Am 2013;95:e55.
    Pubmed CrossRef
  6. Zappe B, Glauser PM, Majewski M, Stöckli HR, Ochsner PE. Long-term prognosis of nerve palsy after total hip arthroplasty:results of two-year-follow-ups and long-term results after a mean time of 8 years. Arch Orthop Trauma Surg 2014;134:1477-82.
    Pubmed CrossRef
  7. de Bruijn IL, Geertzen JH, Dijkstra PU. Functional outcome after peroneal nerve injury. Int J Rehabil Res 2007;30:333-7.
    Pubmed CrossRef
  8. Warner MA, Warner ME, Martin JT. Ulnar neuropathy. Incidence, outcome, and risk factors in sedated or anesthetized patients. Anesthesiology 1994;81:1332-40.
    Pubmed CrossRef
  9. Edwards BN, Tullos HS, Noble PC. Contributory factors and etiology of sciatic nerve palsy in total hip arthroplasty. Clin Orthop Relat Res 1987;(218):136-41.
  10. Eggli S, Hankemayer S, Müller ME. Nerve palsy after leg lengthening in total replacement arthroplasty for developmental dysplasia of the hip. J Bone Joint Surg Br 1999;81:8435.
  11. Uchio Y, Nishikawa U, Ochi M, Shu N, Takata K. Bilateral piriformis syndrome after total hip arthroplasty. Arch Orthop Trauma Surg 1998;117:177-9.
    Pubmed CrossRef
  12. Kanda A, Kaneko K, Obayashi O, Mogami A, Morohashi I. Treatment of postoperative sciatic nerve palsy after total hip arthroplasty for postoperative acetabular fracture: A case report. Ann Med Surg (Lond) 2016;11:39-41.
    Pubmed KoreaMed CrossRef
  13. Lohana P, Woodnutt DJ, Boyce DE. Sciatic nerve palsy-a complication of posterior approach using enhanced soft tissue repair for total hip arthroplasty. J Plast Reconstr Aesthet Surg 2010;63:e400-1.
    Pubmed CrossRef

January 2019, 2 (1)
Full Text(PDF) Free

Social Network Service

Cited By Articles
  • CrossRef (0)
  • Crossref
  • Google Scholar