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Preoperative optimization for vascular involvement complicating revision total hip arthroplasty

Daniel Asemota1, Brandon Passano1, James E Feng1

  • 1Division of Adult Reconstructive Surgery, NYU Langone Orthopedics, NYU Langone Health, New York, NY, USA.

Arthroplasty Today
|December 19, 2018
PubMed

Insights

Vascular complications in revision hip arthroplasty can arise from implant migration into the pelvis. This case report highlights successful management of external iliac artery compromise during revision hip surgery.

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.

Keywords:
Revision total hip arthroplastyVascular surgery

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