Evidence map›Paper›PMID 29270435›Full record

SynthesisBioMed research international2017

Sciatic Nerve Palsy following Total Hip Replacement: Are Patients Personal Characteristics More Important than Limb Lengthening? A Systematic Review.

Marcello De Fine, Matteo Romagnoli, Stefano Zaffagnini, Giovanni Pignatti

Abstract readSystematic Review
In one paragraph

Synthesis in BioMed research international, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Is intraoperative neuromonitoring effective in hip and pelvis orthopedic and trauma surgery? A systematic review.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2021
    Pooled it
  2. Pooled it
  3. Review
  4. Review
  5. Article
  6. Article
  7. Retrograde Femoral Lengthening Below a Total Hip Arthroplasty.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2025
    Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Surgical Management of Foot Drop.Orthopedic reviews · 2024
    Article
  13. Article
  14. Article
  15. Article
  16. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Marcello De FineGeneral Orthopaedic Surgery, Rizzoli Sicilia Department, Rizzoli Orthopaedic Institute, Bagheria, Palermo, Italy.ORCID 0000-0002-0961-0193
Matteo RomagnoliClinica Ortopedica e Traumatologica II, Rizzoli Orthopaedic Institute, Bologna, Italy.
Stefano ZaffagniniClinica Ortopedica e Traumatologica II, Rizzoli Orthopaedic Institute, Bologna, Italy.
Giovanni PignattiGeneral Orthopaedic Surgery, Rizzoli Sicilia Department, Rizzoli Orthopaedic Institute, Bagheria, Palermo, Italy.ORCID 0000-0003-0566-3527

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Sciatic nerve palsies are rare but potentially devastating complications, accounting for more than 90% of neurologic injuries following total hip replacement. A systematic literature screening was carried out searching papers evaluating an exclusive population of postarthroplasty sciatic nerve palsies to ascertain (1) the influence of limb lengthening itself on sciatic nerve palsy, (2) the most important risk factors, (3) the long-term prognosis, and (4) the outcomes of different treatments. Fourteen manuscripts were finally included. The wide prevalence of retrospective case series decreased the global methodological quality of the retrieved papers. A hazardous lengthening threshold cannot be surely identified. Developmental dysplasia of the hip and previous hip surgeries are the most frequently recognized risk factors. Rate of full nerve function restoration approximates two-thirds of the cases, independently of the extent of initial neural damage. Poor evidences are available about the best treatment strategy. Well-structured multicentric prospective comparative studies are needed to substantiate or contrast the finding of this review. Anyway, since the onset of palsies is probably due to a combination of individual factors, risk of nerve damage and potential for nerve recovery should be evaluated on an individual basis.

Indexed as

Arthroplasty, Replacement, HipBone LengtheningExtremitiesFemaleHipHumansMaleRisk FactorsSciatic Neuropathy

Identifiers

PMID29270435
PMCPMC5705876

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.