False aneurysm of the common femoral artery after total hip arthroplasty : A case report

A 59-year-old healthy man presented with osteoarthritis of his left hip that was recalcitrant to nonoperative treatment. He subsequently elected to have arthroplasty of the hip performed. At 3 months after arthroplasty, he returned reporting progressive groin pain: most remarkable was a palpable mas...

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Veröffentlicht in:Clinical orthopaedics and related research 1997-05, Vol.338 (338), p.105-108
Hauptverfasser: MALLORY, T. H, JAFFE, S. L, EBERLE, R. W
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container_end_page 108
container_issue 338
container_start_page 105
container_title Clinical orthopaedics and related research
container_volume 338
creator MALLORY, T. H
JAFFE, S. L
EBERLE, R. W
description A 59-year-old healthy man presented with osteoarthritis of his left hip that was recalcitrant to nonoperative treatment. He subsequently elected to have arthroplasty of the hip performed. At 3 months after arthroplasty, he returned reporting progressive groin pain: most remarkable was a palpable mass in the groin region. An arteriogram showed a radiodense mass adjacent to the acetabulum, and a computed tomography scan with contrast confirmed a large false aneurysm originating from the common femoral artery. In this particular case, a pointed Hohmann retractor punctured the common femoral artery, creating the dynamics of the development of a false aneurysm. Primary suture repair of the vascular defect was performed, followed by a complete and uncomplicated recovery of the patient to full activity. Since this case, the authors have discontinued the use of pointed. Hohmann retractors and now use a blunt, rounded Hohmann retractor during total hip arthroplasty without compromising acetabular exposure. However, care must be taken in blunt retractor placement to avoid retractor slippage during the procedure. This case shows the need for awareness of potential mechanisms for vascular injury related to total hip arthroplasty.
doi_str_mv 10.1097/00003086-199705000-00016
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source MEDLINE; Journals@Ovid Complete
subjects Aneurysm, False - diagnostic imaging
Aneurysm, False - etiology
Aneurysm, False - surgery
Biological and medical sciences
Blood and lymphatic vessels
Cardiology. Vascular system
Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous
Femoral Artery
Hip Prosthesis
Humans
Male
Medical sciences
Middle Aged
Osteoarthritis, Hip - surgery
Postoperative Complications - surgery
Tomography, X-Ray Computed
title False aneurysm of the common femoral artery after total hip arthroplasty : A case report
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