The Mechanisms of Severe Arterial Injury in Surgery of the Hip Joint

Nachbur, B; Meyer, R P; Verkkala, K; Zürcher, Regula

doi:10.1097/00003086-197906000-00014

Cited by 103 publications

(106 citation statements)

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“…Nachbur et al [5] reported the incidence of vascular injuries in surgeries of the hip joint to be 0.25% between 1970 and 1978. Calligaro et al [6] reported arterial complications in 8 out of 9581 (0.08%) patients who underwent total hip arthroplasty between 1989 and 2002.…”

Section: Discussionmentioning

confidence: 99%

Profunda Femoris Artery Branch Pseudoaneurysm following Total Hip Arthroplasty

Karmakar

Horsley

2015

International Journal of Orthopaedics

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We discuss the case of patient who suffered a profunda femoris artery branch pseudoaneurysm following total hip arthroplasty. Notably this is a rare occurrence following anterolateral approach total hip arthroplasty. Adding to the diagnostic difficulty was the timing of presentation occurring in the subacute rather than the acute post-operative period. Presentation of a pseudoaneurysm following hip surgery can be variable. It is vital to note diagnostic clues as pseudoaneurysm can pose catastrophic consequences to the patient.

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Section: Discussionmentioning

confidence: 99%

Profunda Femoris Artery Branch Pseudoaneurysm following Total Hip Arthroplasty

Karmakar

Horsley

2015

International Journal of Orthopaedics

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“…Peripheral fibrosis secondary to previous surgery, infection, and advanced arthrosclerotic disease are all risk factors for vascular complications during total hip replacement 9,12 . Reports in the literature indicate an average frequency of 0.2 to 0.3% [12][13][14][15][16] with prevalence varying from 0.08% for a single group of hip prostheses to 0.67% 15,16 Complications can be delayed as in the case of pseudo-aneurysms and arteriovenous fistulas, or can result in immediate hemorrhage sometimes with compressive hematomas and/or ischemia from arterial injury, traumatic arterial tearing or mobilization of atheromatous plaque 17 .…”

Section: Discussionmentioning

confidence: 99%

Acute Common Femoral Artery Occlusion following Total Hip Arthroplasty for an Arthrodesed Hip

Hakuta

Tsuchida

Katsui

et al. 2011

Showa Univ J Med Sci

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: Perioperative acute arterial complications occur rarely after total hip arthroplasty THA but can be limb or life threatening. Here, we report a case of an arterial thrombosis after primary THA for an arthrodesed hip. The arterial occlusion occurred because of the surgical mobilization against the immovable exion and adduction position. A review of the literature on vascular complications arising after THA suggests multiple possible mechanisms and clinical presentations that relate to these complications. Specific risk factors can be identified in THAs replacement cases and THA for the arthrodesed hip can be a major risk factor. Most of these vascular complications can be prevented or more efficiently treated by thorough preoperative assessment and careful postoperative monitoring.

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“…Generally, vascular complications after THA are relatively rare (approximately 0.08%), 1) and are more commonly encountered after revision surgery. Large artery thrombosis is even more uncommon, [2][3][4][5] but has potentially devastating consequences. In fact, only two previous reports of thrombosis of a bypass graft of a major artery after THA have been published in literature.…”

Section: 대한정형외과학회지：제 48권 제 2호 2013mentioning

confidence: 99%