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Femoral artery injury during total hip arthroplasty

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机构: [1]Capital Medical University, Xuan Wu Hospital, Beijing, China
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关键词: Limb ischemia Total hip arthroplasty Vascular injury

摘要:
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. ? 2018 The Authors

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第一作者机构: [1]Capital Medical University, Xuan Wu Hospital, Beijing, China [*1]No. 45, Chang Chun Street, Xi Cheng District, Beijing 100053, China.
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通讯机构: [*1]No. 45, Chang Chun Street, Xi Cheng District, Beijing 100053, China.
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