SynthesisEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2022
Sciatic nerve injury after acetabular fractures: a meta-analysis of incidence and outcomes.
Synthesis in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.
- Effects of Different Surgical Procedures on the Therapeutic Effects, Prognosis, and Major Complications of Acetabular Fractures in the Elderly of China: A Systematic Review and Meta-Analysis.Computational and mathematical methods in medicine · 2022Pooled it
- Proximal Hamstring-Related Sciatic Nerve Entrapment Presenting as Recurrent Hamstring Strain in a Professional Footballer: A Case Report.Journal of orthopaedic case reports · 2026Article
- Anatomical variation of the sciatic nerve division in the cadaver studies: a systematic review and meta-analysis.Anatomy & cell biology · 2026Review
- Article
- Lumbosacral plexus and sciatic nerve injury following acetabular fracture: predictive value of CT bony features and perineural hematoma.Skeletal radiology · 2026Article
- Neuroimmune regulation of post-traumatic bone regeneration: focus on inflammatory switching and functional recovery.Frontiers in immunology · 2026Review
- Optimizing sciatic nerve exposure: Insights from a multicenter experience and review of the literature.Brain & spine · 2026Article
- Safe passage analysis for both column screw fixation technique in posterior column acetabular fractures.Scientific reports · 2025Article
- [Lesion of the sciatic nerve after antegrade intramedullary nailing of proximal femoral fractures].Unfallchirurgie (Heidelberg, Germany) · 2025Article
- Preventing complications during acetabular fracture surgery, a review.Journal of clinical orthopaedics and trauma · 2025Review
- Incidence, risk factors, and prognosis of sciatic nerve injury in acetabular fractures: a retrospective cross-sectional study.International orthopaedics · 2024Article
- Analysis of predictive factors for post-traumatic osteoarthritis and poor outcomes in acetabular fractures treated surgically.Acta orthopaedica et traumatologica turcica · 2023Article
- A review of acetabular fracture patterns, etiologies, and management in Jordan.Saudi medical journal · 2023Review
- Incidence of traumatic sciatic nerve injury in patients with acetabular fractures and factors affecting recovery: a retrospective study.Journal of orthopaedic surgery and research · 2023Article
- Neurogenic gluteus medius and minimus muscle atrophy with Trendelenburg's sign after a displaced acetabular fracture of the posterior column - A case report.Trauma case reports · 2022Article
- Incidence of Traumatic Sciatic Nerve Injury in Association with Acetabular Fracture: A Retrospective Observational Single-Center Study.International journal of general medicine · 2022Article
Corrections and comments
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Authors and funding
7 authors at 5 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo investigate the incidence and the outcome of post-traumatic and iatrogenic sciatic nerve palsy (SNP) associated with fractures of the acetabulum. The results of sciatic nerve grafting for treatment were also investigated.
methodsPUBMED, SCOPUS and COCHRANE databases were searched for longitudinal observational studies reporting sciatic nerve palsy related to acetabular fractures in adult patients over the last 20 years. Data regarding patients demographics, type of acetabular fracture, rate of post traumatic and iatrogenic sciatic nerve palsies as well as recovery rate are reported. Studies were assessed for their quality. Random effects meta-analyses were carried out to pool overall proportions of SNP incidence and complete recovery. Variations in SNP incidence by main study characteristics were assessed by subgroup analysis and meta-regression. A narrative review of sciatic nerve grafting was also conducted.
resultsTwenty studies reporting 44 post-operative and 18 iatrogenic SNPs in 651 patients were reviewed. The pooled incidence of posttraumatic SNP was 5.1% (95% CI 2.7-8.2%). The pooled incidence of iatrogenic SNP was 1.4% (95% CI 0.3-2.9%). Complete recovery of post-traumatic and iatrogenic SNP occurred in 64.7% (95% CI 41.7-85.4%) and 74.1% (95% CI 31.5-100%), respectively.
conclusionA favorable outcome of both post-traumatic and iatrogenic SNP related to acetabular fractures has been found. Due to the poor results of sciatic nerve grafting, a "wait and see" approach may be the best option, in cases of a contused but anatomically intact sciatic nerve.
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