Intrapelvic Migration of a Well-Fixed Femoral Stem After Removal of an Acetabular Cup

Shafi, Mohamed; Kim, Weon-Yoo; Han, Chang Hwan; Ji, Jong-Hoon; Lee, Sang-Myung

doi:10.1016/j.arth.2005.07.022

Cited by 9 publications

(1 citation statement)

References 20 publications

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“…In this situation several intrapelvic complications have been described. The proximity of the prosthesis to major arteries also may lead to life-threatening hemorrhage [4] and has been associated with pain and visceral complications, nerve palsy, fistula between hip and intrapelvic viscera, extrinsic compression of the bladder, rectum, and vagina with dyspareunia and gross hematuria [5][6][7][8][9]. When removal of the component through the defect in the inner wall of the pelvis is attempted using a standard approach used for primary arthroplasties, uncontrollable bleeding or damage to the pelvic organs can occur.…”

Section: Discussionmentioning

confidence: 99%

Stoppa Approach, An Alternative for Total Hip Arthroplasty in an Intra-Pelvic Cup

Chana-Rodríguez

Villanueva‐Martínez

Crego-Vita

et al. 2013

The Journal of Arthroplasty

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Section: Discussionmentioning

confidence: 99%

Stoppa Approach, An Alternative for Total Hip Arthroplasty in an Intra-Pelvic Cup

Chana-Rodríguez

Villanueva‐Martínez

Crego-Vita

et al. 2013

The Journal of Arthroplasty

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Intra-abdominal and intra-pelvic complications following operations around the hip: causes and management—a review of the literature

Anastasopoulos

Lepetsos

Leonidou

et al. 2018

Eur J Orthop Surg Traumatol

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Although successful and well-established procedures, hip operations whether elective or trauma are coupled with a variety of complications. Among the most uncommon complications are injuries to intra-abdominal or intra-pelvic organs which could prove potentially life-threatening. While there are various reports of such injuries in the literature, we aimed to perform a systematic review in order to examine the causes and relationships between intra-abdominal and intra-pelvic complications and the mechanism of injury, the pattern of presentation, identification, the course of management and outcomes. We identified 69 reports describing a total of 84 complications in intra-pelvic and intra-abdominal contents in 75 patients. These involved six major categories, including the intestinal tract, the urinary tract, the genital tract, the vascular system, the viscera and peripheral nerves. The most commonly injured system was the urinary (33.33%), followed by the vascular (29.76%) and the intestinal (22.62%). Among these systems, the most prevalent complications involved injury to the urinary bladder (32.14%), the large intestine (68.42%) and the external iliac artery (44%). The majority of recorded complications were postoperative with 71 incidents in 63 cases (84.52%). In intra-operative complications the most prevalent injury was due to hardware penetration (53.85%), while in postoperative it was due to hardware migration (92.06%). The management of injuries varied widely, with the most common approach being open exploration and direct repair (77.33%). The reported management outcomes included death (8%) and Girdlestone resection (2.67%), while the majority of the patients healed uneventfully (82.67%) owing mostly to immediate intervention. Despite being rare, such complications may still occur in a variety of settings and may subsequently lead to potential life-threatening situations. Thus, in order to avoid catastrophic outcomes we emphasize the need for prompt identification, immediate intervention and a multidisciplinary approach when necessary.

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Transvaginal Emergence of a Broken Cup Marker Ring 21 Years After Total Hip Arthroplasty

Krocker

Perka

2010

The Journal of Arthroplasty

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Intrapelvic Migration of a Well-Fixed Femoral Stem After Removal of an Acetabular Cup

Cited by 9 publications

References 20 publications

Stoppa Approach, An Alternative for Total Hip Arthroplasty in an Intra-Pelvic Cup

Stoppa Approach, An Alternative for Total Hip Arthroplasty in an Intra-Pelvic Cup

Intra-abdominal and intra-pelvic complications following operations around the hip: causes and management—a review of the literature

Transvaginal Emergence of a Broken Cup Marker Ring 21 Years After Total Hip Arthroplasty

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