[Total cementless hip replacement complicated by the damage of the femoral artery]

The paper presents the mode of treatment in two patients with injury of the femoral artery which resulted during total cementless hip replacement. The first patient underwent a total hip replacement procedure because of degenerative changes secondary to purulent inflammation during infancy. During the procedure the femoral artery was damaged and subsequently sutured. The second patient was underwent a total hip replacement procedure because of degenerative changes secondary to congenital dislocation of the hip. Two months after implantation of a Biocontact prosthesis with a self-threading acetabular component, a false aneurysm was diagnosed by ultrasonographic examination. The aneurysm was excised and a vascular prosthesis was implanted. This mode of treatment saved both patients, while preserving the hip prosthesis. The complication rate was 0.3%.