Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
Fruhwirth, J; Koch, G; Ivanic, GM; Seibert, FJ; Tesch, NP.
Vascular lesions in surgery of the hip joint].
Unfallchirurg. 1997; 100(2):119-123
Doi: 10.1007/s001130050102
Web of Science
PubMed
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- Führende Autor*innen der Med Uni Graz
- Fruhwirth Johannes
- Co-Autor*innen der Med Uni Graz
- Seibert Franz
- Tesch Norbert
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- Abstract:
- The vascular anatomy in the acetabular region involves a certain risk of arterial and venous injuries complicating orthopaedic surgery. These complications have been grouped into four categories: lacerations, thrombosis, pseudoaneurysms and arteriovenous fistula. In a period of 5 years, three injuries of the external iliac artery and four lesions of the femoral artery associated with total hip arthroplasty were treated surgically at the Department of Vascular Surgery of the University Hospital in Graz. In one case a concomitant lesion of the pelvic vein was observed. The incidence of iatrogenic vascular injuries in total hip surgery is 0.3%. Combined injury of the external iliac artery and vein led to a life-threatening bleeding complication. The vascular lesion became manifest as acute ischaemia of the lower extremity or as an acute haemorrhage 30 min to 2 h after primary surgery. The late complication of a false aneurysm of the femoral artery occurred in one patient 3 weeks after total hip replacement. Reconstruction of the vascular lesions was performed by direct suture, except that two arterial lesions required the use of polytetrafluoroethylene (PTFE) vascular grafts. Vessels in the pelvic region are at high risk if screw fixation acetabular components are used. Perforation of the iliac artery by protruded methylmethacrylate polymer components of cement has been documented. The obturator vessels are in a vulnerable position if the acetabular floor has been broached by operative instruments or eroded by loosening of the prosthesis facilitated by osteoporosis, steroids or sepsis. Femoral vessels are endangered by Hohmann retractors that are not placed directly on bone. Though vascular injury during hip operations is rare, recognition of such complications is important as safe and satisfactory treatment can be achieved. Rapid identification and immediate surgical repair of these lacerations are essential for their management.
- Find related publications in this database (using NLM MeSH Indexing)
- Aged -
- Angiography -
- Female -
- Femoral Artery - injuries
- Femoral Artery - surgery
- Follow-Up Studies -
- Hip Prosthesis -
- Humans -
- Iliac Artery - injuries
- Iliac Artery - surgery
- Ischemia - surgery
- Leg - blood supply
- Male -
- Middle Aged -
- Postoperative Complications - surgery
- Prosthesis Design -
- Prosthesis Failure -
- Reoperation -
- Find related publications in this database (Keywords)
- vascular complication
- total hip replacement