[Vascular injuries in acetabular implantation and acetabular replacement surgery--case report, literature review and anatomical study].
Severe intraoperative bleeding during revision hip arthroplasty in one of our patients was the motive of the work reported here. A review of the literature and an anatomical cadaver study were carried out. The distance between the acetabular fossa and the intrapelvic blood vessels was measured in 15 specimens. The risk for the obturator artery is particularly high. The distance between this vessel and the acetabulum is 2 mm (1-5 mm) only. An account of previous complications and the vascular anatomy as pointed out in our report may help to prevent severe bleeding complications in hip surgery.
Kohn
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D
Orthopädische Klinik, Medizinischen Hochschule Hannover im Annastift e. V.
Weiss
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A
D000077:Acetabulum / Q000601:surgery*; D005260:Female; D006470:Hemorrhage / Q000209:etiology*; D006622:Hip Prosthesis; D006801:Humans; D007083:Iliac Artery / Q000002:abnormalities / Q000293:injuries* / Q000601:surgery; D007431:Intraoperative Complications / Q000209:etiology; D008875:Middle Aged; D010388:Pelvis / Q000098:blood supply; D012086:Reoperation
Gefässverletzungen bei Hüftpfannenimplantation und Hüftpfannenwechsel--Fallbericht, Literaturübersicht und anatomische Studie.