Surgical intervention of a femoral shaft fracture in a patient with intraosseous arteriovenous malformation: A case report

Chenglong, Wang; Chen, Cheng-Wei

doi:10.1016/j.jos.2020.12.030

Journal of Orthopaedic Science

2023

DOI: 10.1016/j.jos.2020.12.030

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Surgical intervention of a femoral shaft fracture in a patient with intraosseous arteriovenous malformation: A case report

Wang Chenglong

Cheng-Wei Chen

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Arthritis of the Hip Caused by Arteriovenous Malformations: A Case Report

Zhou

et al. 2023

CMIR

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BACKGROUND: Arthritis of the hip caused by arteriovenous malformations (AVMs) has been rarely reported. Therefore, total hip replacement (THR) in patients with AVM-induced arthritis of the hip is challenging. CASE SUMMARY: We report a 44-year-old woman with aggravated right hip pain during the past decade. The patient presented with severe pain and a functional disorder of the right hip. X-ray examination revealed severely narrowed right hip joint space and abnormal trabecular bone loss in the femoral neck and trochanter area. Doppler ultrasound, magnetic resonance imaging and computed tomography angiography revealed AVMs surrounding the right hip, along with erosion. To ensure the safety of THR, we performed vascular embolization and temporary balloon occlusion of the iliac artery three times during the operation. However, serious hemorrhage occurred, which was rescued by the multimodality blood conservation strategy. THR was successfully performed, and the patient was discharged 8 d later for rehabilitation. Postoperative pathological examination showed osteonecrosis of the femoral head with malformed thick-walled vessels and focal granulomatous inflammation of the surrounding soft tissues. The Harris Hip Scale score increased from 31 to 82 at 3 mo of follow-up. The patient was followed up for 1 year, and all her clinical symptoms were significantly alleviated. CONCLUSION: Arthritis of the hip caused by AVMs is rare in clinical practice. The activity and function of the involved hip joint can be effectively treated with THR after comprehensive imaging and multidisciplinary consultation.

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Arthritis of the Hip Caused by Arteriovenous Malformations: A Case Report

Zhou

et al. 2023

CMIR

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Surgical intervention of a femoral shaft fracture in a patient with intraosseous arteriovenous malformation: A case report

Cited by 1 publication

References 9 publications

Arthritis of the Hip Caused by Arteriovenous Malformations: A Case Report

Arthritis of the Hip Caused by Arteriovenous Malformations: A Case Report

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