• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

髋臼旋转截骨术后全髋关节置换术中髂外动脉破裂：一例报告

Rupture of External Iliac Artery during Total Hip Arthroplasty after Rotational Acetabular Osteotomy: A Case Report.

作者信息

Suzuki Masahiro, Mikami Takashi

机构信息

Department of Orthopedic Surgery, Eniwa Hospital, Eniwa, Hokkaido, Japan.

出版信息

J Orthop Case Rep. 2023 Apr;13(4):41-44. doi: 10.13107/jocr.2023.v13.i04.3608.

DOI:10.13107/jocr.2023.v13.i04.3608
PMID:37193383
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10182574/
Abstract

INTRODUCTION

Total hip arthroplasty (THA) is widely accepted as a safe and effective procedure to relieve hip pain and restore function, but complications can lead to a poor outcome. Although major vascular injuries during THA are rare, when they do occur, massive bleeding may threaten life.

CASE REPORT

We describe a case of a 72-year-old woman who underwent THA after rotational acetabular osteotomy (RAO). When the soft tissue in the acetabular fossa was dissected with electrocautery, massive pulsatile bleeding suddenly occurred. A blood transfusion and metal stent graft repair saved her life. We assume that the cause of the arterial injury was a bone defect of the acetabulum and relocation of the external iliac artery after RAO.

CONCLUSION

To avoid arterial injury during THA, pre-operative three-dimensional computed tomographic angiography to locate the intrapelvic vessels around the acetabulum is recommended in cases with complex hip anatomy.

摘要

引言

全髋关节置换术（THA）作为缓解髋关节疼痛和恢复功能的一种安全有效的手术方法已被广泛接受，但并发症可能导致不良后果。虽然THA期间的主要血管损伤很少见，但一旦发生，大量出血可能危及生命。

病例报告

我们描述了一例72岁女性患者，该患者在髋臼旋转截骨术（RAO）后接受了THA。当用电灼器解剖髋臼窝的软组织时，突然出现大量搏动性出血。输血和金属支架移植修复挽救了她的生命。我们推测动脉损伤的原因是髋臼骨缺损和RAO后髂外动脉移位。

结论

为避免THA期间的动脉损伤，对于髋关节解剖结构复杂的病例，建议术前行三维计算机断层血管造影以定位髋臼周围的盆腔内血管。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3934/10182574/4dbd26221dd6/JOCR-13-41-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3934/10182574/ff31fc738a92/JOCR-13-41-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3934/10182574/723d4bbf4dc6/JOCR-13-41-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3934/10182574/063e044f2e9f/JOCR-13-41-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3934/10182574/9b3fedfe14a2/JOCR-13-41-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3934/10182574/4dbd26221dd6/JOCR-13-41-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3934/10182574/ff31fc738a92/JOCR-13-41-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3934/10182574/723d4bbf4dc6/JOCR-13-41-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3934/10182574/063e044f2e9f/JOCR-13-41-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3934/10182574/9b3fedfe14a2/JOCR-13-41-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3934/10182574/4dbd26221dd6/JOCR-13-41-g005.jpg

相似文献

1
Rupture of External Iliac Artery during Total Hip Arthroplasty after Rotational Acetabular Osteotomy: A Case Report.髋臼旋转截骨术后全髋关节置换术中髂外动脉破裂：一例报告
J Orthop Case Rep. 2023 Apr;13(4):41-44. doi: 10.13107/jocr.2023.v13.i04.3608.
2
Total hip arthroplasty after rotational acetabular osteotomy.髋臼旋转截骨术后全髋关节置换术。
J Arthroplasty. 2015 Mar;30(3):403-6. doi: 10.1016/j.arth.2014.10.002. Epub 2014 Oct 8.
3
Comparison between cup implantations during total hip arthroplasty with or without a history of rotational acetabular osteotomy.髋关节置换术中带或不带旋转髋臼截骨史的杯植入物比较。
Arch Orthop Trauma Surg. 2022 Nov;142(11):3539-3547. doi: 10.1007/s00402-021-04253-9. Epub 2021 Nov 20.
4
Failed periacetabular osteotomy leads to acetabular defects during subsequent total hip arthroplasty.髋臼周围截骨术失败会导致后续全髋关节置换术中出现髋臼缺损。
Arch Orthop Trauma Surg. 2019 May;139(5):729-734. doi: 10.1007/s00402-019-03174-y. Epub 2019 Mar 23.
5
Characteristics of three-dimensional acetabular morphology of patients with excellent outcome after rotational acetabular osteotomy over 20 years.旋转髋臼截骨术后 20 多年疗效优异患者的髋臼三维形态特征。
J Orthop Surg Res. 2021 Mar 15;16(1):192. doi: 10.1186/s13018-021-02346-0.
6
Total Hip Arthroplasty after Previous Acetabular Osteotomy: Comparison of Three Types of Acetabular Osteotomy.既往髋臼截骨术后的全髋关节置换术：三种髋臼截骨术式的比较
J Arthroplasty. 2016 Jan;31(1):172-5. doi: 10.1016/j.arth.2015.07.018. Epub 2015 Jul 17.
7
Significantly Poor Outcomes of Total Hip Arthroplasty After Failed Periacetabular Osteotomy.髋臼周围截骨术失败后全髋关节置换术的显著不良结局。
J Arthroplasty. 2016 Sep;31(9):1904-9. doi: 10.1016/j.arth.2016.02.056. Epub 2016 Mar 4.
8
Does rotational acetabular osteotomy affect subsequent total hip arthroplasty?髋臼旋转截骨术会影响后续的全髋关节置换术吗？
Arch Orthop Trauma Surg. 2015 Mar;135(3):407-15. doi: 10.1007/s00402-015-2154-5. Epub 2015 Jan 11.
9
Total hip arthroplasty after rotational acetabular osteotomy for developmental dysplasia of the hip: a retrospective observational study.髋关节发育不良行髋臼旋转截骨术后的全髋关节置换术：一项回顾性观察研究。
BMC Musculoskelet Disord. 2022 Jul 6;23(1):646. doi: 10.1186/s12891-022-05597-y.
10
Surgical advances in periacetabular osteotomy for treatment of hip dysplasia in adults.成人髋臼周围截骨术治疗髋关节发育不良的手术进展
Acta Orthop Suppl. 2009 Apr;80(332):1-33. doi: 10.1080/17453690610046585.

本文引用的文献

1
Total Hip Arthroplasty After Periacetabular and Intertrochanteric Valgus Osteotomy.髋臼周围及转子间外翻截骨术后全髋关节置换术
J Arthroplasty. 2017 Mar;32(3):857-861. doi: 10.1016/j.arth.2016.08.023. Epub 2016 Aug 26.
2
Total Hip Arthroplasty after Previous Acetabular Osteotomy: Comparison of Three Types of Acetabular Osteotomy.既往髋臼截骨术后的全髋关节置换术：三种髋臼截骨术式的比较
J Arthroplasty. 2016 Jan;31(1):172-5. doi: 10.1016/j.arth.2015.07.018. Epub 2015 Jul 17.
3
Severe vascular complications and intervention following elective total hip and knee replacement: A 16-year retrospective analysis.
择期全髋关节和膝关节置换术后的严重血管并发症及干预：一项16年的回顾性分析。
J Orthop. 2015 Feb 10;12(3):151-5. doi: 10.1016/j.jor.2015.01.008. eCollection 2015 Sep.
4
Does rotational acetabular osteotomy affect subsequent total hip arthroplasty?髋臼旋转截骨术会影响后续的全髋关节置换术吗？
Arch Orthop Trauma Surg. 2015 Mar;135(3):407-15. doi: 10.1007/s00402-015-2154-5. Epub 2015 Jan 11.
5
Total hip arthroplasty after rotational acetabular osteotomy.髋臼旋转截骨术后全髋关节置换术。
J Arthroplasty. 2015 Mar;30(3):403-6. doi: 10.1016/j.arth.2014.10.002. Epub 2014 Oct 8.
6
Updated strategies to treat acute arterial complications associated with total knee and hip arthroplasty.更新的策略来治疗全膝关节和髋关节置换术相关的急性动脉并发症。
J Vasc Surg. 2013 Oct;58(4):1037-42. doi: 10.1016/j.jvs.2013.04.035. Epub 2013 Jun 6.
7
Location of intrapelvic vessels around the acetabulum assessed by three-dimensional computed tomographic angiography: prevention of vascular-related complications in total hip arthroplasty.
J Orthop Sci. 2012 Jul;17(4):397-406. doi: 10.1007/s00776-012-0227-7. Epub 2012 Jun 12.
8
Vascular injuries after total joint arthroplasty.全关节置换术后的血管损伤
J Arthroplasty. 2008 Dec;23(8):1115-21. doi: 10.1016/j.arth.2008.02.016. Epub 2008 Aug 3.
9
Predictors of lower extremity arterial injury after total knee or total hip arthroplasty.全膝关节或全髋关节置换术后下肢动脉损伤的预测因素。
J Vasc Surg. 2008 Apr;47(4):803-7; discussion 807-8. doi: 10.1016/j.jvs.2007.11.067. Epub 2008 Mar 4.
10
Acetabular anatomy and transacetabular screw fixation at the high hip center.髋臼解剖结构及高髋关节中心的经髋臼螺钉固定
Clin Orthop Relat Res. 2005 Sep;438:171-6. doi: 10.1097/01.blo.0000165855.76244.53.