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Preoperative optimization for vascular involvement complicating revision total hip arthroplasty.

ABSTRACT: Vascular complications in revision total hip arthroplasty may occur in cases where the components of the hip implant migrate through the acetabular wall, through the iliopectineal line of the pelvis, and into the pelvic cavity. This migration may lead to substantial intrapelvic vascular compromise, drastically increasing the surgical complexity and potential risk for morbidity and mortality in these surgical cases. Here, we present a case of a 78-year-old woman with significant acetabular protrusio, which resulted in intraoperative compromise of the external iliac artery with rapid extravasation. As a result of prudent preoperative planning, interdisciplinary collaboration, and precautionary measures, significant patient morbidity and mortality was averted. Level of Evidence:Level V, Case Report.

SUBMITTER: Asemota D

PROVIDER: S-EPMC6287237 | biostudies-literature | 2018 Dec

REPOSITORIES: biostudies-literature

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Preoperative optimization for vascular involvement complicating revision total hip arthroplasty.

Asemota Daniel D Passano Brandon B Feng James E JE Novikov David D Anoushiravani Afshin A AA Schwarzkopf Ran R

Arthroplasty today 20180321 4

Vascular complications in revision total hip arthroplasty may occur in cases where the components of the hip implant migrate through the acetabular wall, through the iliopectineal line of the pelvis, and into the pelvic cavity. This migration may lead to substantial intrapelvic vascular compromise, drastically increasing the surgical complexity and potential risk for morbidity and mortality in these surgical cases. Here, we present a case of a 78-year-old woman with significant acetabular protru ...[more]

PMID: 30560168

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