Bose W J, Petty W
Department of Orthopaedic Surgery, University of South Alabama, Mobile 36693-3327, USA.
J Arthroplasty. 1996 Apr;11(3):348-50. doi: 10.1016/s0883-5403(96)80092-1.
Absent pulses in the ipsilateral limb and a femoral nerve palsy occurred after revision total hip arthroplasty. Emergent arteriogram revealed an occlusion of the femoral artery inferior to the inguinal ligament. The femoral artery was found to be compressed by the bulk allograft bone used for reconstruction of an anterior segmental acetabular defect. No laceration or thrombosis of the artery was present. A high-speed burr was used to remove the anterior portion of the offending allograft. Pulses were immediately restored and the patient had no long-term vascular sequelae. The femoral nerve palsy has slowly resolved over 2 years.
全髋关节翻修术后出现同侧肢体脉搏消失及股神经麻痹。急诊血管造影显示腹股沟韧带下方的股动脉闭塞。发现股动脉被用于重建髋臼前节段缺损的大块同种异体骨压迫。动脉未见撕裂或血栓形成。使用高速磨钻去除造成问题的同种异体骨前部。脉搏立即恢复，患者无长期血管后遗症。股神经麻痹在2年多的时间里逐渐缓解。
