Treatment for sciatic nerve injuries associated with acetabular fracture

Objective: To investigate the effect of treatment for acetabular fractures complicated with sciatic nerve injuries. Methods: 53 cases of acetabular fractures complicated with sciatic nerve injuries were reviewed. 39 cases were treated by operation,the fracture were reducted and fixed with steel plates and screws,the sciatic nerves were neurolysis or nerve repair; 14 cases were treated with non surgical methods. 35 cases of surgical group and 12 cases of non surgical group were followed,The follow-up period lasted from 1 year to 8 years with an average of 2 years. Results: The outcome of sciatic nerve was evaluated according to MCRR criteria,of 35 cases surgical group,19 were excellent,10 good,5 fair,1 poor; of 12 non surgical group,5 excellent,2 good,3 fair,2 poor. The fractures were evaluated according to Matta criteria,of 35 cases surgical group,21 good,14 fair,0 poor; Of 12 non surgical group,2 good,6 fair,4 poor. Conclusion: Early reduction and fixation of the fractures and early exploration of the sciatic nerve and neurolysis or repairing of the injured sciatic nerve may contribute to good prognosis.