External iliac vein compression and thrombosis by a migrated acetabular screw following total hip arthroplasty
A fifty-nine year old gentleman underwent a right total hip replacement in another hospital for protrusio osteoarthritis of the right hip. Post-operatively he developed a large right-sided ilio-femoral deep venous thrombosis. A pelvic radiograph showed that the acetabular construct had migrated medi...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Oxford University Press
2010-05-01
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| Series: | Journal of Surgical Case Reports |
| Subjects: | |
| Online Access: | http://jscr.co.uk/2010/05/trauma-orthopaedic-surgery/external-iliac-vein-compression-and-thrombosis-by-a-migrated-acetabular-screw-following-total-hip-arthroplasty/ |
| _version_ | 1819103868019015680 |
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| author | Olaleye O Oliver M Zahn H |
| author_facet | Olaleye O Oliver M Zahn H |
| author_sort | Olaleye O |
| collection | DOAJ |
| description | A fifty-nine year old gentleman underwent a right total hip replacement in another hospital for protrusio osteoarthritis of the right hip. Post-operatively he developed a large right-sided ilio-femoral deep venous thrombosis. A pelvic radiograph showed that the acetabular construct had migrated medially into the pelvis with a CT scan showing compression of the external iliac vessels by one of the acetabular screws. Revision surgery was carried out in collaboration with the vascular surgeons. This case report highlights the importance of pre-operative planning to avoid medial wall perforation in patients with protrusio osteoarthritis. It also illustrates an unusual complication of compression of the external iliac vessels causing massive ilio-femoral thrombosis.The management of this potentially limb threatening complication is described in this case report. |
| first_indexed | 2024-12-22T01:57:17Z |
| format | Article |
| id | doaj.art-87c635c4d0db46e595b0df95d7ebbc30 |
| institution | Directory Open Access Journal |
| issn | 2042-8812 |
| language | English |
| last_indexed | 2024-12-22T01:57:17Z |
| publishDate | 2010-05-01 |
| publisher | Oxford University Press |
| record_format | Article |
| series | Journal of Surgical Case Reports |
| spelling | doaj.art-87c635c4d0db46e595b0df95d7ebbc302022-12-21T18:42:45ZengOxford University PressJournal of Surgical Case Reports2042-88122010-05-0135External iliac vein compression and thrombosis by a migrated acetabular screw following total hip arthroplastyOlaleye OOliver MZahn HA fifty-nine year old gentleman underwent a right total hip replacement in another hospital for protrusio osteoarthritis of the right hip. Post-operatively he developed a large right-sided ilio-femoral deep venous thrombosis. A pelvic radiograph showed that the acetabular construct had migrated medially into the pelvis with a CT scan showing compression of the external iliac vessels by one of the acetabular screws. Revision surgery was carried out in collaboration with the vascular surgeons. This case report highlights the importance of pre-operative planning to avoid medial wall perforation in patients with protrusio osteoarthritis. It also illustrates an unusual complication of compression of the external iliac vessels causing massive ilio-femoral thrombosis.The management of this potentially limb threatening complication is described in this case report.http://jscr.co.uk/2010/05/trauma-orthopaedic-surgery/external-iliac-vein-compression-and-thrombosis-by-a-migrated-acetabular-screw-following-total-hip-arthroplasty/iliac veincompressionorthopaedicacetabular screw |
| spellingShingle | Olaleye O Oliver M Zahn H External iliac vein compression and thrombosis by a migrated acetabular screw following total hip arthroplasty Journal of Surgical Case Reports iliac vein compression orthopaedic acetabular screw |
| title | External iliac vein compression and thrombosis by a migrated acetabular screw following total hip arthroplasty |
| title_full | External iliac vein compression and thrombosis by a migrated acetabular screw following total hip arthroplasty |
| title_fullStr | External iliac vein compression and thrombosis by a migrated acetabular screw following total hip arthroplasty |
| title_full_unstemmed | External iliac vein compression and thrombosis by a migrated acetabular screw following total hip arthroplasty |
| title_short | External iliac vein compression and thrombosis by a migrated acetabular screw following total hip arthroplasty |
| title_sort | external iliac vein compression and thrombosis by a migrated acetabular screw following total hip arthroplasty |
| topic | iliac vein compression orthopaedic acetabular screw |
| url | http://jscr.co.uk/2010/05/trauma-orthopaedic-surgery/external-iliac-vein-compression-and-thrombosis-by-a-migrated-acetabular-screw-following-total-hip-arthroplasty/ |
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