PDF herunterladen
CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2019; 54(05): 597-600
DOI: 10.1016/j.rbo.2017.09.020
Relato de Caso | Case Report
Sociedade Brasileira de Ortopedia e Traumatologia. Published by Thieme Revnter Publicações Ltda Rio de Janeiro, Brazil

External Iliac Artery Laceration Caused by Hip Prosthesis Migration[*]

Artikel in mehreren Sprachen: português | English
Diogo Lino Moura 
1   Serviço de Ortopedia, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
,
Mário Moreira
2   Serviço de Angiologia e Cirurgia Vascular, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
,
Luís Antunes
2   Serviço de Angiologia e Cirurgia Vascular, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
,
Alfredo Gil Agostinho
3   Serviço de Imagem Médica, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
,
Manuel Fonseca
2   Serviço de Angiologia e Cirurgia Vascular, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
,
António Albuquerque
2   Serviço de Angiologia e Cirurgia Vascular, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
› Institutsangaben
Weitere Informationen

Publikationsverlauf

27. Juli 2017

13. September 2017

Publikationsdatum:
27. August 2019 (online)

   Lizenzen und Reprints

Abstract

Hip arthroplasty is a common and safe intervention in orthopedic surgery. However, the proximity of this joint to large vessels makes the occurrence of vascular injury a rare but serious and possibly lethal complication of this surgical technique. Acute vascular injuries in the context of a hip arthroplasty have variable etiologies and clinical presentations, and are more common in revision surgeries and in situations of medial intrapelvic migration and of chronic infection of the hip prosthesis. In the present article, the authors present a case of acute and late major vascular complication in the context of hip arthroplasty revision. The patient developed an acute laceration of the external iliac artery caused by chronic and progressive medial intrapelvic acetabular migration of the hip prosthesis associated with chronic infection.

Keywords

iliac artery - arthroplasty, replacement, hip - foreign-body migration - infection

* Work developed at the Orthopedic Service, Hospital and University Center of Coimbra, Coimbra, Portugal. Originally published by Elsevier Ltda.


 

  • Referências

  • 1 Nachbur B, Meyer RP, Verkkala K, Zürcher R. The mechanisms of severe arterial injury in surgery of the hip joint. Clin Orthop Relat Res 1979; (141) 122-133
    PubMedGoogle Scholar
  • 2 Parvizi J, Pulido L, Slenker N, Macgibeny M, Purtill JJ, Rothman RH. Vascular injuries after total joint arthroplasty. J Arthroplasty 2008; 23 (08) 1115-1121
    CrossrefPubMedGoogle Scholar
  • 3 Wasielewski RC, Cooperstein LA, Kruger MP, Rubash HE. Acetabular anatomy and the transacetabular fixation of screws in total hip arthroplasty. J Bone Joint Surg Am 1990; 72 (04) 501-508
    CrossrefPubMedGoogle Scholar
  • 4 Ratliff AH. Arterial injuries after total hip replacement. J Bone Joint Surg Br 1985; 67 (04) 517-518
    CrossrefPubMedGoogle Scholar
  • 5 Bergqvist D, Carlsson AS, Ericsson BF. Vascular complications after total hip arthroplasty. Acta Orthop Scand 1983; 54 (02) 157-163
    CrossrefPubMedGoogle Scholar
  • 6 Shoenfeld NA, Stuchin SA, Pearl R, Haveson S. The management of vascular injuries associated with total hip arthroplasty. J Vasc Surg 1990; 11 (04) 549-555
    CrossrefPubMedGoogle Scholar
  • 7 Barrack RL. Neurovascular injury: avoiding catastrophe. J Arthroplasty 2004; 19 (04) (Suppl. 01) 104-107
    CrossrefPubMedGoogle Scholar
  • 8 Wera GD, Ting NT, Della Valle CJ, Sporer SM. External iliac artery injury complicating prosthetic hip resection for infection. J Arthroplasty 2010; 25 (04) 660 , e1–4
    PubMedGoogle Scholar
  • 9 Wasielewski RC, Crossett LS, Rubash HE. Neural and vascular injury in total hip arthroplasty. Orthop Clin North Am 1992; 23 (02) 219-235
    CrossrefPubMedGoogle Scholar
  • 10 el-Massry S, Saad E, Sauvage LR. , et al. Femoropopliteal bypass with externally supported knitted Dacron grafts: a follow-up of 200 grafts for one to twelve years. J Vasc Surg 1994; 19 (03) 487-494
    CrossrefPubMedGoogle Scholar
  • 11 Angle N, Freischlag JA. Prosthetic graft infections. In: Moore WS. , ed. Vascular surgery: a comprehensive review. 6th ed. Philadelphia: WB Saunders; 2002: 741
    Google Scholar