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Updated: May 28, 2026

Tissue Engineering by Intrinsic Vascularization in an In Vivo Tissue Engineering Chamber
09:55

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Published on: May 30, 2016

Vascular complications in orthopaedic surgery.

Giuseppe Rossi1, Andreas Mavrogenis, Andrea Angelini

  • 1Department of Interventional Angiographic Radiology, University of Bologna, Bologna, Italy.

Journal of Long-Term Effects of Medical Implants
|November 3, 2011
PubMed
Summary

Vascular complications in orthopaedic surgery, though uncommon, can occur. Endovascular treatments are now recommended as a safer and effective first option for managing these vascular injuries.

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Last Updated: May 28, 2026

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Published on: November 19, 2019

Area of Science:

  • Orthopaedic Surgery
  • Vascular Surgery
  • Interventional Radiology

Background:

  • Vascular complications, including lacerations, pseudoaneurysms, thrombosis, and arteriovenous fistulas, can occur during or after orthopaedic procedures.
  • Knee and hip arthroplasty are the most common procedures associated with these injuries, often involving the popliteal or femoral arteries.

Purpose of the Study:

  • To review the incidence, diagnosis, and management of vascular complications in orthopaedic surgery.
  • To highlight the effectiveness of endovascular techniques as a primary treatment modality.

Main Methods:

  • Review of literature on vascular complications in orthopaedic surgery.
  • Discussion of diagnostic imaging modalities, including Color Doppler ultrasound, CT, and MR angiography.
  • Analysis of traditional surgical interventions versus modern endovascular treatments.

Main Results:

  • Vascular injuries can occur intraoperatively, immediately postoperatively, or late postoperatively.
  • Color Doppler ultrasound is the initial diagnostic tool; angiography may be needed if noninvasive methods fail.
  • Endovascular treatments (thrombectomy, angioplasty, embolization) have proven effective, safe, and successful.

Conclusions:

  • Endovascular techniques should be considered the first-line treatment for vascular complications following elective orthopaedic surgery.
  • These minimally invasive methods offer a viable alternative to traditional surgical intervention, especially when re-exploration is challenging.