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Journal of Bone and Joint Surgery - British Volume, Vol 91-B, Issue 2, 253-257.
doi: 10.1302/0301-620X.91B2.21183  
Copyright © 2009 by British Editorial Society of Bone and Joint Surgery
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Early palsy of the sciatic nerve due to heterotopic ossification after surgery for fracture of the posterior wall of the acetabulum

N. Manidakis, MRCS, Specialist Registrar1; N. K. Kanakaris, MD, PhD, Trauma Fellow1; V. S. Nikolaou, MD, PhD, Trauma Fellow1; and P. V. Giannoudis, MD, EEC(Orth), Professor1

1 Department of Trauma and Orthopaedic Surgery A Floor, Clarendon Wing, Leeds General Infirmary, Great George Street, Leeds LS1 3EX, West Yorkshire, UK.

Correspondence should be sent to Professor P. V. Giannoudis; e-mail: pgiannoudi{at}aol.com

We describe a patient in whom an initially intact sciatic nerve became rapidly encased in heterotopic bone formed in the abductor compartment after reconstruction of the posterior wall of the acetabulum following fracture. Prompt excision and neural release followed by irradiation and administration of indometacin resulted in a full neurological recovery and no recurrence 27 months later.






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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General