Femoral artery injury during total hip arthroplasty
There are an increasing number of vascular complications after hip replacement, some of which can be life-threatening. However, there are few reports of lower limb ischemic symptoms after undergoing an otherwise uncomplicated classic total hip replacement. We report a patient with low weight who dev...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2018-12-01
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| Series: | Arthroplasty Today |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352344118300414 |
| _version_ | 1818016240982032384 |
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| author | Shuai An, MD, PhD Huiliang Shen, MD Mingli Feng, MD, PhD Zheng Li, MD Yining Wang, BS Guanglei Cao, MD |
| author_facet | Shuai An, MD, PhD Huiliang Shen, MD Mingli Feng, MD, PhD Zheng Li, MD Yining Wang, BS Guanglei Cao, MD |
| author_sort | Shuai An, MD, PhD |
| collection | DOAJ |
| description | There are an increasing number of vascular complications after hip replacement, some of which can be life-threatening. However, there are few reports of lower limb ischemic symptoms after undergoing an otherwise uncomplicated classic total hip replacement. We report a patient with low weight who developed postoperative limb ischemia resulting from blood clots caused by insertion of a Hohmann retractor close to small anterior acetabular osteophytes. Ultrasonography and angiography revealed her symptoms to be the result of femoral artery intimal injury with lower extremity arterial thrombosis, which led to pain, numbness, and decreased skin temperature. The patient underwent timely percutaneous intervention with a femoral artery stent, which relieved her symptoms. The discussion reviews femoral artery injury during total hip arthroplasty. Keywords: Vascular injury, Limb ischemia, Total hip arthroplasty |
| first_indexed | 2024-04-14T07:09:19Z |
| format | Article |
| id | doaj.art-9e9f1013d8454fa388683e7bbfb8cef0 |
| institution | Directory Open Access Journal |
| issn | 2352-3441 |
| language | English |
| last_indexed | 2024-04-14T07:09:19Z |
| publishDate | 2018-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Arthroplasty Today |
| spelling | doaj.art-9e9f1013d8454fa388683e7bbfb8cef02022-12-22T02:06:29ZengElsevierArthroplasty Today2352-34412018-12-0144459463Femoral artery injury during total hip arthroplastyShuai An, MD, PhD0Huiliang Shen, MD1Mingli Feng, MD, PhD2Zheng Li, MD3Yining Wang, BS4Guanglei Cao, MD5Corresponding author. No. 45, Chang Chun Street, Xi Cheng District, Beijing 100053, China. Tel.: +86 13 4011 61758.; Capital Medical University, Xuan Wu Hospital, Beijing, ChinaCapital Medical University, Xuan Wu Hospital, Beijing, ChinaCapital Medical University, Xuan Wu Hospital, Beijing, ChinaCapital Medical University, Xuan Wu Hospital, Beijing, ChinaCapital Medical University, Xuan Wu Hospital, Beijing, ChinaCapital Medical University, Xuan Wu Hospital, Beijing, ChinaThere are an increasing number of vascular complications after hip replacement, some of which can be life-threatening. However, there are few reports of lower limb ischemic symptoms after undergoing an otherwise uncomplicated classic total hip replacement. We report a patient with low weight who developed postoperative limb ischemia resulting from blood clots caused by insertion of a Hohmann retractor close to small anterior acetabular osteophytes. Ultrasonography and angiography revealed her symptoms to be the result of femoral artery intimal injury with lower extremity arterial thrombosis, which led to pain, numbness, and decreased skin temperature. The patient underwent timely percutaneous intervention with a femoral artery stent, which relieved her symptoms. The discussion reviews femoral artery injury during total hip arthroplasty. Keywords: Vascular injury, Limb ischemia, Total hip arthroplastyhttp://www.sciencedirect.com/science/article/pii/S2352344118300414 |
| spellingShingle | Shuai An, MD, PhD Huiliang Shen, MD Mingli Feng, MD, PhD Zheng Li, MD Yining Wang, BS Guanglei Cao, MD Femoral artery injury during total hip arthroplasty Arthroplasty Today |
| title | Femoral artery injury during total hip arthroplasty |
| title_full | Femoral artery injury during total hip arthroplasty |
| title_fullStr | Femoral artery injury during total hip arthroplasty |
| title_full_unstemmed | Femoral artery injury during total hip arthroplasty |
| title_short | Femoral artery injury during total hip arthroplasty |
| title_sort | femoral artery injury during total hip arthroplasty |
| url | http://www.sciencedirect.com/science/article/pii/S2352344118300414 |
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