Thrombotic Occlusion of the External Iliac and Popliteal Arteries after Hip Hemiarthroplasty - A Case Report -

Hong-Man Cho; Won-Yu Kang; Cheol Park; Hwang-Se Bong

doi:10.5371/hp.2012.24.4.333

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Cho, Kang, Park, and Bong: Thrombotic Occlusion of the External Iliac and Popliteal Arteries after Hip Hemiarthroplasty - A Case Report -

Case Report

Hip & Pelvis

Hip & Pelvis 2012; 24(4): 333-337.

Published online: 31 December 2012

DOI: https://doi.org/10.5371/hp.2012.24.4.333

Thrombotic Occlusion of the External Iliac and Popliteal Arteries after Hip Hemiarthroplasty - A Case Report -

Hong-Man Cho, MD, Won-Yu Kang, MD^*, Cheol Park, MD, Hwang-Se Bong, MD

Department of Orthopedic Surgery, Gwangju Veterans Hospital, Gwangju, Korea.

^*Cardiovasclar Center, Department of Internal Medicine, Gwangju Veterans Hospital, Gwangju, Korea.

Address reprint request to Hong-Man Cho, MD. Department of Orthopedic Surgery, Gwangju Veterans Hospital, 887-1 Sanwol-dong, Gwangsan-gu, Gwangju 506-705, Korea. TEL: +82-63-250-1765, FAX: +82-63-271-6538, chm1228@hanmail.net

Received 25 June 2012 Revised 15 November 2012 Accepted 17 November 2012

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Vascular complications related to hip arthroplasty are common, however, total occlusion of a critical artery that threatens survival of an extremity is extremely rare. We report on a patient who had thrombotic arterial occlusions at the iliac and popliteal arteries following hemiarthroplasty of the hip.

Keywords: Arterial occlusion, Hip hemiarthroplasty

Figures and Tables

Fig. 1

(A) A 82-year-old patient visited our hospital with left hip pain. This radiograph shows a fracture of the neck of left femur. (B) A bipolar hemiarthroplasty was done with a routine manner.

Fig. 2

(A) Arteriogram shows occlusion of the left external iliac artery and multiple atherosclerotic lesions at both iliac artery and femoral artery. (B) Reperfusion of blood supply was gained by using a stent insertion and urokinase injection.

Fig. 3

(A) The popliteal artery was obstructed by a thrombus just above the knee joint. (B) After using a continuous injection of urokinase, a follow up arteriography shows a incomplete thrombolysis and reperfusion.

References

1. Heyes FL, Aukland A. Occlusion of the common femoral artery complicating total hip arthroplasty. J Bone Joint Surg Br. 1985. 67:533–535.

2. Nachbur B, Meyer RP, Verkkala K, Zürcher R. The mechanisms of severe arterial injury in surgery of the hip joint. Clin Orthop Relat Res. 1979. (141):122–133.

3. Trousdale RT, Donnelly RS, Hallett JW. Thrombosis of an aortobifemoral bypass graft after total hip arthroplasty. J Arthroplasty. 1999. 14:386–390.

4. Kim YS, Rhee SK, Chung JW, Sung BY, Kwon SY. Treatment of acute arterial thrombosis after total hip replacement arthroplasty using urokinase-a report of two cases. J Korean Hip Soc. 2007. 19:197–203.

5. Shoenfeld NA, Stucbin SA, Pearl R, Haveson S. The management of vascular injuries associated with total hip arthroplasty. J Vasc Surg. 1990. 11:549–555.

6. Matos MH, Amstutz HC, Machleder HI. Ischemia of the lower extremity after total hip replacement. J Bone Joint Surg Am. 1979. 61:24–27.

7. Bergqvist D, Carlsson AS, Ericsson BF. Vascular complications after total hip arthroplasty. Acta Orthop Scand. 1983. 54:157–163.

8. Aust JC, Bredenberg CE, Murray DG. Mechanisms of arterial injuries associated with total hip replacement. Arch Surg. 1981. 116:345–349.

9. Reilingh ML, Hartemink KJ, Hoksbergen AW, Saouti R. Occlusion of the common femoral artery by cement after total hip arthroplasty: a case report. J Med Case Rep. 2009. 3:86.

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