Multiple previous surgeries, infection, and preoperative radiation: a cause for arterial rupture in closed reduction?
We report a patient who underwent revision hip arthroplasty with preoperative radiation after a septic loosening of the primary hip prosthesis. Subsequently the patient presented with a dislocation of the hip. During the closed reduction with general anesthesia, a rupture of the arteria profunda femoris occurred. The patient was treated by angiographic obliteration of the arteria profunda femoris followed by an open reduction and augmentation of the acetabular component.
Nogler
M
M
Department of Orthopaedic Surgery, University of Innsbruck, Innsbruck, Austria.
Krismer
M
M
Waldenberger
P
P
Rachbauer
F
F
Bach
C
C
D000368:Aged; D001158:Arteries / Q000293:injuries*; D019644:Arthroplasty, Replacement, Hip; D005260:Female; D006617:Hip Dislocation / Q000209:etiology / Q000628:therapy*; D006801:Humans; D008349:Manipulation, Orthopedic / Q000009:adverse effects*; D011475:Prosthesis Failure; D016459:Prosthesis-Related Infections / Q000188:drug therapy / Q000532:radiotherapy*; D012086:Reoperation; D012307:Risk Factors; D012421:Rupture