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Case Reports
. 2021 Aug 17:11:38-40.
doi: 10.1016/j.artd.2021.04.015. eCollection 2021 Oct.

Delayed Femoral Artery Occlusion After Total Hip Arthroplasty via the Posterior Approach: A Single-Case Report From Thailand

Payap Payapanon  1 , Pakpoom Ruangsomboon  1 , Rapeepat Narkbunnam  1 , Keerati Chareancholvanich  1 , Chaturong Pornrattanamaneewong  1
Affiliations
Case Reports

Delayed Femoral Artery Occlusion After Total Hip Arthroplasty via the Posterior Approach: A Single-Case Report From Thailand

Payap Payapanon et al. Arthroplast Today. .

Abstract

Arterial injury after total hip arthroplasty is rare, but the consequences of this complication are serious and potentially life-threatening. Here, we report a case of delayed-onset common femoral artery occlusion after total hip arthroplasty that was performed via the posterior approach at Siriraj Hospital-Thailand's largest university-based national tertiary referral center. Our case was successfully treated with arterial thromboembolectomy. We postulate that anterior retractor placement caused intimal injury to the vessel. Routine monitoring of postoperative vascular pulse is essential. Early detection and prompt vascular surgeon consultation are the important factors for preventing the potentially catastrophic consequences of this complication.

Keywords: Delayed femoral artery occlusion; Posterior approach; Thailand; Total hip arthroplasty.

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Figures

Figure 1
Figure 1
Preoperative radiograph of the patient, both hip AP.
Figure 2
Figure 2
Postoperative radiograph of the patient, both hip AP.
Figure 3
Figure 3
Intraoperative photograph shows the site of tunica adventitia tear of anterior wall of right common femoral artery (arrow).
Figure 4
Figure 4
Intraoperative photograph shows removed thrombus that extended from common femoral artery down to anterior and posterior tibial arteries.
See this image and copyright information in PMC

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