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Thromboembolic Events in Total Hip Arthroplasty:: A Report of 3 Cases in 2 Patients

Arielle Richey Levine1, Michael Leslie

  • 1Yale Department of Orthopaedics & Rehabilitation at Yale School of Medicine, New Haven, Connecticut.

JBJS Case Connector
|May 16, 2025
PubMed

Insights

Thromboembolic events can occur during total hip arthroplasty (THA), especially after acetabular component implantation. Understanding coagulopathic risks and implementing preventative measures are crucial for patient safety during THA procedures.

Area of Science:

  • Orthopedic Surgery
  • Cardiopulmonary Medicine
  • Hematology

Background:

  • Thromboembolic events pose a significant risk during total hip arthroplasty (THA).
  • Adverse coagulopathic outcomes can lead to severe intraoperative complications.

Purpose of the Study:

  • To present cases of thromboembolic events following THA.
  • To highlight the need for better understanding of risk factors for coagulopathic outcomes during THA.

Main Methods:

  • Case series presentation of 3 thromboembolic events in 2 patients.
  • Analysis of intraoperative events following acetabular component implantation during THA.

Main Results:

  • Severe cardiac and pulmonary adverse events occurred intraoperatively.
  • Events were associated with acetabular component implantation in THA.

Conclusions:

  • Preoperative consideration of thromboembolic risk factors, including coagulopathies, is essential before THA.
  • Identifying high-risk surgical steps and implementing preventative strategies are critical for managing intraoperative complications during THA.
Abstract

Keywords:
pulmonary embolismrisk factorsthromboembolitotal hip arthroplasty

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