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Femoral artery injury during total hip arthroplasty.

ABSTRACT: 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.

SUBMITTER: An S

PROVIDER: S-EPMC6287226 | biostudies-literature | 2018 Dec

REPOSITORIES: biostudies-literature

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Femoral artery injury during total hip arthroplasty.

An Shuai S Shen Huiliang H Feng Mingli M Li Zheng Z Wang Yining Y Cao Guanglei G

Arthroplasty today 20180816 4

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 sy ...[more]

PMID: 30560176

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