Traumatismos arteriales en artroplastia de cadera

Leiva, Luis; Arroyo, Agustín; Gil, José; Rodríguez, Ana Isabel Suárez; Abarrategui, Cristina; Lobato, Marta; Gesto, Ricardo

doi:10.1016/s0009-739x(08)70526-8

Cited by 4 publications

(1 citation statement)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Her platelet count finally increased to 81,000/ μ L just before the surgery ( Figure 2 ), after which THA could be performed under general anesthesia. In order to avoid the risk of vascular damage, a posterior approach was used [ 1 ]. To decrease the amount of blood loss as much as possible, a cemented implant was chosen for both the acetabular side (E-1 acetabular liner (Biomet, Warsaw, IN)) and the femoral side (PHYSIO-HIP SYSTEM type 6 (Kyocera, Kyoto, Japan)).…”

Section: Case Reportmentioning

confidence: 99%

Total Hip Arthroplasty for Rapidly Destructive Coxarthrosis in a Patient with Severe Platelet Deficiency due to Liver Cirrhosis and Immune Thrombocytopenic Purpura

Hama

Inori

Momose

et al. 2015

Case Reports in Orthopedics

View full text Add to dashboard Cite

Rapidly destructive coxarthrosis (RDC) causes rapid and extreme destruction of the hip joint, which was reported by Postel and Kerboull. RDC is commonly unilateral and occurs mostly in elderly women. Immune thrombocytopenic purpura (ITP) is characterized by a low platelet count that is the result of both immune-mediated platelet destruction and suppression of platelet production. In patients with ITP undergoing surgery, bleeding associated with a low preoperative platelet count can lead to unsuccessful outcomes. To the best of our knowledge, there has been only one report describing total hip arthroplasty (THA) for patients with ITP and there have been no reports of THA for RDC with a very low platelet count due to liver cirrhosis (LC) and ITP. We report the case of a patient who had right RDC and a very low platelet count due to LC and ITP in whom THA was successfully performed. Furthermore, this case was also unique in that her platelet count increased after THA. THA for right RDC might resolve ITP by relieving inflammation of the right hip since her platelet count recovered after THA.

show abstract

Section: Case Reportmentioning

confidence: 99%

Total Hip Arthroplasty for Rapidly Destructive Coxarthrosis in a Patient with Severe Platelet Deficiency due to Liver Cirrhosis and Immune Thrombocytopenic Purpura

Hama

Inori

Momose

et al. 2015

Case Reports in Orthopedics

View full text Add to dashboard Cite

show abstract

Isquemia aguda de miembro inferior derecho en reintervención de cadera. Revisión de bibliografía

2010

View full text Add to dashboard Cite

Traumatismo arterial secundario a artroplastia de cadera. Presentación de un caso. [Arterial trauma secondary to hip arthroplasty. Case report].

Pérez

Ribot

Nieto

2017

Rev. Asoc. Arg. Ort. y Traumatol

View full text Add to dashboard Cite

<p>Se presenta el caso de lesión vascular iatrogénica de la arteria circunfleja femoral externa en un paciente tras realizarse artroplastia total de cadera.</p><p>El paciente tras la intervención presentó anemización importante en repetidas ocasiones con dolor en muslo y necesidad de cirugía para evacuación de hematoma. Sin embargo el angiotc realizado en dos ocasiones fue negativo para sangrado activo. Finalmente se diagnosticó de lesión de esta arteria mediante artreriografía, siendo tratado mediante cirugía endovascular. Destacamos la importancia del cuidado en la manipulación del miembro intervenido y los objetos usados. Así como la sospecha y los medios diagnósticos adecuados, ya que ante una clínica poco definida, pruebas comúnmente usadas negativas y la no existencia de un sangrado activo importante puede pasar desapercibida una lesión vascular que pone en riesgo la vida del paciente si no es resuelta. También se pone de relevancia el avance en el tratamiento de estas lesiones mediante las técnicas endovasculares que reducen la morbi-mortalidad respecto a las técnicas clásicas de cirugía abierta.</p>

show abstract

Traumatismos arteriales en artroplastia de cadera

Cited by 4 publications

References 7 publications

Total Hip Arthroplasty for Rapidly Destructive Coxarthrosis in a Patient with Severe Platelet Deficiency due to Liver Cirrhosis and Immune Thrombocytopenic Purpura

Total Hip Arthroplasty for Rapidly Destructive Coxarthrosis in a Patient with Severe Platelet Deficiency due to Liver Cirrhosis and Immune Thrombocytopenic Purpura

Isquemia aguda de miembro inferior derecho en reintervención de cadera. Revisión de bibliografía

Traumatismo arterial secundario a artroplastia de cadera. Presentación de un caso. [Arterial trauma secondary to hip arthroplasty. Case report].

Contact Info

Product

Resources

About