Iatrogenic sciatic nerve injury secondary to clamp placement around the femoral neck during proximal femoral fracture intramedullary nailing

- 20-year-old male road-traffic accident - Sustained right acetabulum fracture, left proximal femur fracture, right patella fracture and pulmonary contusions - Had fixation within 4 days of his left proximal femur fracture and his right acetabulum: -. Following fixation of his left femur fracture, developed symptoms of complete left sciatic nerve palsy. -. At the time of surgery, a heygroves clamp around the neck of the femur was used to assist in the reduction of the fracture. -. Subsequent exploration of the sciatic nerve showed several clamp indentations on it but fascicles in continuity. - Nerve conduction studies at 4 months post-operatively confirmed a high sciatic nerve injury. - The patient has still not recovered any function 1 year post-operatively.