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Young Mo Kim, M.D., Ph.D.
, Yong Bum Joo, M.D., Ph.D., Seok Hwan Song, M.D.
, Yong Bum Joo, M.D., Ph.D., Seok Hwan Song, M.D.
Abstract
Femur intramedullary nailing can be one of the most predictable procedures in orthopedic traumatology. The advantage of this method is that the fracture site does not have to be widely exposed for reduction, which can minimize soft tissue damage. For this reason, the incidence of complications related to hematoma has been rare. We experienced only one case of sciatic nerve palsy due to hematoma after intramedullary nailing; the patient was receiving an anticoagulant therapy. Therefore, we report this case with literature review.
Figures and Tables
Fig. 1
Plain radiographs of a 75-year-old female with femur shaft fracture. Anteroposterior (A) and lateral (B) view.
Fig. 2
Internal fixation was performed using a standard intramedullary nail, Anteroposterior (A) and lateral (B) view.
Fig. 3
Postoperative 10 days, acute sciatic nerve palsy symptoms appeared related to a huge hematoma lesion. (A) Axial computed tomography images showing a hematoma with a size of greater than 10 cm on the gluteus medius muscle. (B) Coronal computed tomography angiography showed bleeding (white arrow) at the branch of the superior gluteal artery.
References
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