Femoral nerve palsy after pelvic fracture treated with INFIX

A case series

Daniel Hesse, Utku Kandmir, Brian Solberg, Alex Stroh, Greg Osgood, Stephen A. Sems, Cory A. Collinge

Research output: Contribution to journalArticle

29 Citations (Scopus)

Abstract

Objective: The treatment of some pelvic injuries has evolved recently to include the use of a subcutaneous anterior pelvic fixator (INFIX). We present 8 cases of femoral nerve palsy in 6 patients after application of an INFIX to highlight this potentially devastating complication to pelvic surgeons using this technique and discuss how it might be avoided in the future. Design: Retrospective chart review. Case series. Setting: Five level 1 and 2 trauma centers, tertiary referral hospitals. Patients/Participants: Six patients with anterior pelvic ring injury treated with an INFIX who experienced 8 femoral nerve palsies (2 bilateral). Intervention: Removal of internal fixator, treatment for femoral nerve palsy. Main Outcome Measurements: Clinical and electromyographic evaluation of patients. Results: All 6 patients with a total of 8 femoral nerve palsies had their INFIX removed. Variable resolution of the nerve injuries was observed. Conclusions: Application of an INFIX for the treatment of pelvic ring injury carries a potentially devastating risk to the femoral nerve(s). Despite early implant removal after detection of nerve injury, some patients had residual quadriceps weakness, disturbance of the thigh's skin sensation, and/or gait disturbance attributable to femoral nerve palsy at the time of early final follow-up. Level of Evidence: Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.

Original languageEnglish (US)
Pages (from-to)138-143
Number of pages6
JournalJournal of Orthopaedic Trauma
Volume29
Issue number3
DOIs
StatePublished - Mar 26 2015

Fingerprint

Femoral Nerve
Paralysis
Wounds and Injuries
Internal Fixators
Trauma Centers
Therapeutics
Thigh
Gait
Tertiary Care Centers
Skin

Keywords

  • anterior fixation
  • anterior pelvis
  • complication
  • femoral nerve
  • femoral nerve palsy
  • internal fixator
  • nerve palsy
  • pelvic fixation
  • pelvic fracture
  • ramus fracture
  • symphyseal disruption
  • trauma

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

Hesse, D., Kandmir, U., Solberg, B., Stroh, A., Osgood, G., Sems, S. A., & Collinge, C. A. (2015). Femoral nerve palsy after pelvic fracture treated with INFIX: A case series. Journal of Orthopaedic Trauma, 29(3), 138-143. https://doi.org/10.1097/BOT.0000000000000193

Femoral nerve palsy after pelvic fracture treated with INFIX : A case series. / Hesse, Daniel; Kandmir, Utku; Solberg, Brian; Stroh, Alex; Osgood, Greg; Sems, Stephen A.; Collinge, Cory A.

In: Journal of Orthopaedic Trauma, Vol. 29, No. 3, 26.03.2015, p. 138-143.

Research output: Contribution to journalArticle

Hesse, D, Kandmir, U, Solberg, B, Stroh, A, Osgood, G, Sems, SA & Collinge, CA 2015, 'Femoral nerve palsy after pelvic fracture treated with INFIX: A case series', Journal of Orthopaedic Trauma, vol. 29, no. 3, pp. 138-143. https://doi.org/10.1097/BOT.0000000000000193
Hesse, Daniel ; Kandmir, Utku ; Solberg, Brian ; Stroh, Alex ; Osgood, Greg ; Sems, Stephen A. ; Collinge, Cory A. / Femoral nerve palsy after pelvic fracture treated with INFIX : A case series. In: Journal of Orthopaedic Trauma. 2015 ; Vol. 29, No. 3. pp. 138-143.
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