Tarazi Nadim, Thomas Alastair, Chowdhry Majid, Carrothers Andrew
Trauma and Orthopaedics, Addenbrooke's Hospital, Cambridge, UK.
BMJ Case Rep. 2018 May 18;2018:bcr-2017-223779. doi: 10.1136/bcr-2017-223779.
The incidence of acetabular fractures has increased markedly in patients over 60 in the last quarter of a century, with open reduction and internal fixation being regarded to be the treatment of choice in most patients with displaced acetabular fractures. Lower limb ischaemia following acetabular fixation or arthroplasty is rare. However, such complications can be limb or life threatening, and therefore, it is important to recognise them as early as possible. We present the case of a 70-year-old man with no significant medical history who underwent acetabular fixation with simultaneous arthroplasty complicated with bilateral lower limb ischaemia. We highlight the importance of having a high degree of suspicion which allows early diagnosis and corrective measures to be implemented which can ultimately lead to excellent outcome.
在过去25年里，60岁以上患者髋臼骨折的发病率显著增加，对于大多数移位性髋臼骨折患者，切开复位内固定被视为首选治疗方法。髋臼固定或关节置换术后下肢缺血很少见。然而，此类并发症可能危及肢体或生命，因此，尽早识别它们很重要。我们报告一例70岁男性病例，该患者无重大病史，接受髋臼固定并同时进行关节置换术，术后并发双侧下肢缺血。我们强调高度怀疑的重要性，这有助于早期诊断并实施纠正措施，最终可带来良好的治疗效果。
