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Case Reports
. 2018 Aug 16;4(4):459-463.
doi: 10.1016/j.artd.2018.03.003. eCollection 2018 Dec.

Femoral artery injury during total hip arthroplasty

Shuai An  1 , Huiliang Shen  1 , Mingli Feng  1 , Zheng Li  1 , Yining Wang  1 , Guanglei Cao  1
Affiliations
Case Reports

Femoral artery injury during total hip arthroplasty

Shuai An et al. Arthroplast Today. .

Abstract

There are an increasing number of vascular complications after hip replacement, some of which can be life-threatening. However, there are few reports of lower limb ischemic symptoms after undergoing an otherwise uncomplicated classic total hip replacement. We report a patient with low weight who developed postoperative limb ischemia resulting from blood clots caused by insertion of a Hohmann retractor close to small anterior acetabular osteophytes. Ultrasonography and angiography revealed her symptoms to be the result of femoral artery intimal injury with lower extremity arterial thrombosis, which led to pain, numbness, and decreased skin temperature. The patient underwent timely percutaneous intervention with a femoral artery stent, which relieved her symptoms. The discussion reviews femoral artery injury during total hip arthroplasty.

Keywords: Limb ischemia; Total hip arthroplasty; Vascular injury.

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Figures

Figure 1
Figure 1
Posterior-anterior view of radiograph before (a) and after (b) operation (red arrow indicates the position of osteophytes on the anterior edge of acetabulum).
Figure 2
Figure 2
Common femoral artery occlusion found by vascular angiography (the distance between common femoral artery and anterior edge of acetabulum is nearly equal to the diameter of acetabular nail). Red arrow indicates the injury site.
Figure 3
Figure 3
Common femoral artery intimal injury showed after recanalization. Red arrow indicates the original injury site.
See this image and copyright information in PMC

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