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全髋关节置换术后的血管并发症。文献综述及两例报告。

Vascular complications following total hip arthroplasty. A review of the literature and a report of two cases.

作者信息

Reiley M A, Bond D, Branick R I, Wilson E H

出版信息

Clin Orthop Relat Res. 1984 Jun(186):23-8.

PMID:6723150
Abstract

Major vascular, nonthromboembolic complications of total hip arthroplasty are rare: only 23 have been reported over the last 20 years. This is a report of two additional cases. In an 84-year-old woman, the external iliac artery was lacerated following removal of the acetabular component. Two such injuries have been reported previously, but this is the first case that resulted from a posterolateral approach to the hip. In a 69-year-old woman, a heretofore unrecorded complication consisted of external iliac vein compression occurring 20 months after total hip arthroplasty and culminating in iliac artery thrombosis and an ischemic foot. A below-knee amputation was performed after removal of the total hip components.

摘要

全髋关节置换术的主要血管性、非血栓栓塞性并发症很少见:在过去20年中仅报告了23例。本文报告另外2例。一名84岁女性在取出髋臼假体后出现髂外动脉撕裂。此前曾报告过2例此类损伤,但这是首例因髋关节后外侧入路导致的病例。一名69岁女性出现了一种此前未记录的并发症,即全髋关节置换术后20个月发生髂外静脉受压,最终导致髂动脉血栓形成和足部缺血。在取出全髋关节假体后进行了膝下截肢。

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