Preston Jared S, Mennona Steven, Kayiaros Stephen
Department of Orthopaedic Surgery, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA.
University Orthopaedic Associates, Somerset, NJ, USA.
Arthroplast Today. 2017 Oct 21;4(4):401-406. doi: 10.1016/j.artd.2017.09.005. eCollection 2018 Dec.
We present a unique case of phlegmasia cerulea dolens and compartment syndrome secondary to external iliac vein disruption after revision total hip arthroplasty. To our knowledge, this complication has not yet been described following revision total hip arthroplasty. We conclude that although vascular complications are fortunately rare after hip arthroplasty, they can have significant morbidity and mortality. Surgeons should have a thorough understanding of pelvic and hip anatomy for screw and retractor placement and know how to appropriately and expeditiously manage vascular complications should they occur.
我们报告了一例翻修全髋关节置换术后继发于髂外静脉破裂的股青肿和骨筋膜室综合征的独特病例。据我们所知，翻修全髋关节置换术后尚未有此并发症的描述。我们得出结论，尽管髋关节置换术后血管并发症幸运地很少见，但它们可导致显著的发病率和死亡率。外科医生应对骨盆和髋关节解剖结构有透彻的了解，以便正确放置螺钉和牵开器，并且应知道在血管并发症发生时如何适当且迅速地进行处理。
