Preoperative optimization for vascular involvement complicating revision total hip arthroplasty

Area of Science:

• Orthopedic Surgery
• Vascular Surgery
• Pelvic Anatomy

Background:

• Revision total hip arthroplasty carries risks, including component migration.
• Pelvic vascular compromise is a severe complication, increasing surgical risk.
• Acetabular protrusio can lead to intra-pelvic implant migration.

Observation:

• A 78-year-old female patient presented with acetabular protrusio during revision hip arthroplasty.
• Intraoperative external iliac artery compromise with extravasation occurred.
• The patient had significant acetabular protrusio.

Findings:

• Successful management of external iliac artery injury during revision hip arthroplasty.
• Preoperative planning and interdisciplinary collaboration were crucial.
• Patient morbidity and mortality were averted through meticulous care.

Implications:

• Highlights the importance of vigilant monitoring for vascular injury during revision hip arthroplasty.
• Emphasizes the critical role of preoperative planning and multidisciplinary teams in managing complex cases.
• Demonstrates that severe vascular complications can be successfully managed, improving patient outcomes.