An Shuai, Shen Huiliang, Feng Mingli, Li Zheng, Wang Yining, Cao Guanglei
Capital Medical University, Xuan Wu Hospital, Beijing, China.
Arthroplast Today. 2018 Aug 16;4(4):459-463. doi: 10.1016/j.artd.2018.03.003. eCollection 2018 Dec.
There are an increasing number of vascular complications after hip replacement, some of which can be life-threatening. However, there are few reports of lower limb ischemic symptoms after undergoing an otherwise uncomplicated classic total hip replacement. We report a patient with low weight who developed postoperative limb ischemia resulting from blood clots caused by insertion of a Hohmann retractor close to small anterior acetabular osteophytes. Ultrasonography and angiography revealed her symptoms to be the result of femoral artery intimal injury with lower extremity arterial thrombosis, which led to pain, numbness, and decreased skin temperature. The patient underwent timely percutaneous intervention with a femoral artery stent, which relieved her symptoms. The discussion reviews femoral artery injury during total hip arthroplasty.
髋关节置换术后血管并发症的数量日益增加，其中一些可能危及生命。然而，在进行了无其他并发症的经典全髋关节置换术后出现下肢缺血症状的报告却很少。我们报告了一例体重较轻的患者，其术后肢体缺血是由靠近髋臼前部小骨赘处插入霍曼牵开器导致的血凝块引起的。超声检查和血管造影显示，她的症状是股动脉内膜损伤伴下肢动脉血栓形成的结果，这导致了疼痛、麻木和皮肤温度降低。患者及时接受了股动脉支架的经皮介入治疗，症状得到缓解。本文讨论了全髋关节置换术中股动脉损伤的情况。
