Vascular Injuries During Hip and Knee Replacement

Matthew W J Street1, Lisa C Howard1, Michael E Neufeld1

  • 1Lower Limb Reconstruction, Department of Orthopaedics, University of British Columbia, Vancouver, British Columbia, Canada; Department of Orthopaedics, Diamond Health Care Centre, Complex Joint Clinic, 3rd Floor, 2775 Laurel Street, Vancouver, British Columbia V5Z 1M9, Canada.

Vascular injuries associated with hip and knee arthroplasty are rare but can result in devastating outcomes for the patient. A sound knowledge of vascular anatomy, potential mechanisms of injury, and diagnosis and management of vascular injuries are vital to an arthroplasty surgeon. Identifying high-risk patients and procedures allows careful preoperative planning, which combined with meticulous intraoperative technique, may help avoid vascular complications. When vascular injuries do occur, early recognition and intervention are critical to an improved outcome.

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