Case report: superficial femoral artery injury resulting from cerclage wiring during revision THA.
Vascular injuries around the hip are uncommon with hip arthroplasty. However, given the close proximity of the external iliac and femoral vessels to the hip, iatrogenic injury may occur. We describe a case of superficial femoral artery injury occurring during revision THA using an extended trochanteric osteotomy, bulk allograft, and cerclage wires. We review the available literature on vascular injury in hip arthroplasty and illustrate the great care necessary when placing cerclage wires and the importance of prompt recognition of these potentially devastating complications.
Aleto
Thomas
T
Department of Orthopaedics, Missouri Hip and Knee Center, University of Missouri-Columbia, Columbia, MO, USA.
Ritter
Merrill A
MA
Berend
Michael E
ME
D001157:Arterial Occlusive Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects* / Q000379:methods; D016025:Bone Transplantation; D001864:Bone Wires / Q000009:adverse effects*; D005263:Femoral Artery / Q000000981:diagnostic imaging / Q000293:injuries*; D006621:Hip Joint / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010027:Osteotomy; D010146:Pain / Q000601:surgery*; D011859:Radiography; D012086:Reoperation; D015607:Stents; D017131:Thrombectomy