Sciatic nerve damage following traumatic hip fracture – neurological disorders forum – ehealthforum hip labrum surgery recovery time

Hello everyone. My name is Heather and about 23 months ago, my father was in a terrible automobile accident that nearly ended his life. He sustained a broken right pelvis, which resulted in emergency hip surgery. Following the surgery, he was told that he would most likely have sciatic nerve damage. My father went through months of physical therapy with no progress, and has taken medications such as Neurontin and currently, Lyricato alleiate pain and to hopefully restore the nerve. He has foot drop, is experiencing muscle atrophy in his right calf muscle, can berely walk for any length of time, and is most often in either intense or dull pain. My father is a 56 year old man who loves the outdoors. He enjoys hunting and fishing, riding his motorcyle, and staying active. Because of this injury, he has been robbed of these things that make him happy.

He spends most of his time indoors now, deeply depressed and unable to work. Even the most trivial of activities, such as going to Wal-Mart, are exhausting for him. My father is a good man…a devoted father and grandfather. He deserves to have his life back and he deserves to be happy. If there is anyone out there who knows anything about medical treatment for this type of nerve damage, please post information to this forum. My family would greatly appreciate it. God bless!

I am sorry to hear about his injury. You may want to check with Dr. David Helfet who is the lead author on a study that looked at treatment of sciatic neuropathy associated with some types of pelvic/acetabular fractures. I am not sure which part of the country you are located in but he is an expert on treatment of these injury patterns.

BACKGROUND: Sciatic neuropathy associated with acetabular fractures can result in disabling long-term symptoms. The purpose of this retrospective study was to evaluate the effect of sciatic nerve release on sciatic neuropathy associated with acetabular fractures and reconstructive acetabular surgery. METHODS: Between 2000 and 2004, ten patients with sciatic neuropathy associated with an acetabular fracture were treated with release of the sciatic nerve from scar tissue and heterotopic bone. Additional surgical procedures included open reduction and internal fixation of the acetabulum (five patients), removal of hardware and total hip arthroplasty (three patients), and removal of hardware alone (one patient). The average age of the patients was forty-three years. All patients were followed with serial examinations and assessments for a minimum of one year (average, twenty-six months). RESULTS: All patients had partial to complete relief of radicular pain, of diminished sensation, and of paresthesias after the nerve release. Four of seven patients with motor loss and two of five patients with a footdrop demonstrated improvement in function after the nerve release. No patient had evidence of worsening on neurologic examination after the release. CONCLUSIONS: Sciatic nerve release during reconstructive acetabular surgery can decrease the sensory symptoms of preoperative sciatic neuropathy associated with a previous acetabular fracture. Motor symptoms, however, are less likely to resolve following nerve release.