title: Femoral artery injury during revision of a dislocated bipolar hemiarthroplasty: a case report.
abstract: Although rarely encountered, major vascular injury is a serious complication of total hip arthroplasty (THA). We report the case of an 85-year-old woman who sustained a deep femoral artery injury associated with a superficial femoral artery thrombosis during revision of a dislocated bipolar hemiarthroplasty to a THA. Altered anatomy due to migration of the femoral head was thought to be one of the factors leading to this complication. Following the revision procedure, no signs of vascular insufficiency were detected in the immediate postoperative period, but ischaemia was clinically evident 12 hours after surgery. The importance of careful preoperative and postoperative assessment is addressed.
authors.affiliation: Department of Orthopaedic Surgery, Hyogo College of Medicine, Mukogawa-cho, Nishinomiya City, Hyogo, Japan. f9457@hyo-med.ac.jp
authors.forename: Shohei
authors.initials: S
authors.lastname: Okahisa
authors.forename: Shigeo
authors.initials: S
authors.lastname: Fukunishi
authors.forename: Tomokazu
authors.initials: T
authors.lastname: Fukui
authors.forename: Shoji
authors.initials: S
authors.lastname: Nishio
authors.forename: Yuki
authors.initials: Y
authors.lastname: Fujihara
authors.forename: Shinichi
authors.initials: S
authors.lastname: Yoshiya
mesh_terms: D000369:Aged, 80 and over; D019644:Arthroplasty, Replacement, Hip; D017760:Bone Malalignment / Q000601:surgery*; D005260:Female; D005263:Femoral Artery / Q000293:injuries* / Q000601:surgery; D006621:Hip Joint / Q000473:pathology / Q000503:physiopathology / Q000601:surgery; D006801:Humans; D007431:Intraoperative Complications; D007511:Ischemia / Q000175:diagnosis / Q000209:etiology; D011183:Postoperative Complications; D011475:Prosthesis Failure; D016059:Range of Motion, Articular; D012086:Reoperation; D013927:Thrombosis / Q000150:complications / Q000473:pathology; D016896:Treatment Outcome