Delayed Femoral Artery Occlusion After Total Hip Arthroplasty via the Posterior Approach: A Single-Case Report From Thailand

Abstract

Arterial injury after total hip arthroplasty is rare, but the consequences of this complication are serious and potentially life-threatening. Here, we report a case of delayed-onset common femoral artery occlusion after total hip arthroplasty that was performed via the posterior approach at Siriraj Hospital-dThailand's largest university-based national tertiary referral center. Our case was successfully treated with arterial thromboembolectomy. We postulate that anterior retractor placement caused intimal injury to the vessel. Routine monitoring of postoperative vascular pulse is essential. Early detection and prompt vascular surgeon consultation are the important factors for preventing the potentially catastrophic consequences of this complication.

Prevention of Pernicious Vascular Event: Acetabular Component Screw Impinging on External Iliac Vessels – A Unique Case Report

“…or surgeon related like misplacement of Hohmann retractors or its excessive retraction, medial acetabulum wall breach while reaming, direct perforation of the artery with drills bits or screws, thermal injury from bone cement extravasation, etc. [ 3 ]. The external iliac, gluteal, obturator, and femoral vessels are at a higher risk of injury due to proximity to the acetabulum [ 2 ].…”