The relationship of the intrapelvic vasculature to the acetabulum : implications in screw-fixation acetabular components
The use of screw-fixation acetabular components in total hip arthroplasty could increase the incidence of vascular injury because of the increased use of drills and screws placed into the acetabulum in close proximity to major vessels. Analysis of two illustrative case studies, anatomic specimen cro...
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| Veröffentlicht in: | Clinical orthopaedics and related research 1990-09, Vol.258 (258), p.183-190 |
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| container_title | Clinical orthopaedics and related research |
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| creator | KIRKPATRICK, J. S CALLAGHAN, J. J VANDEMARK, R. M GOLDNER, R. D |
| description | The use of screw-fixation acetabular components in total hip arthroplasty could increase the incidence of vascular injury because of the increased use of drills and screws placed into the acetabulum in close proximity to major vessels. Analysis of two illustrative case studies, anatomic specimen cross sections, and computed tomographic scans demonstrate which vessels are at risk of injury should the inner cortex of the pelvis be penetrated. The iliac vessels are at risk of injury when penetration of the inner cortex of the pelvis occurs in the anterosuperior region of the acetabulum. The obturator vessels are at risk when penetration occurs in the anteroinferior quadrant of the acetabulum. The vessels can be within 0.5 cm of the inner cortex of the pelvis and tend to become closer with advancing age. Damage to the intrapelvic vessels may cause profound blood loss and hypotension when screw-fixation acetabular components are used. Rapid identification and immediate surgical repair of vessel lacerations are essential in the treatment of this complication. |
| doi_str_mv | 10.1097/00003086-199009000-00023 |
| format | Article |
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S ; CALLAGHAN, J. J ; VANDEMARK, R. M ; GOLDNER, R. D</creator><creatorcontrib>KIRKPATRICK, J. S ; CALLAGHAN, J. J ; VANDEMARK, R. M ; GOLDNER, R. D</creatorcontrib><description>The use of screw-fixation acetabular components in total hip arthroplasty could increase the incidence of vascular injury because of the increased use of drills and screws placed into the acetabulum in close proximity to major vessels. Analysis of two illustrative case studies, anatomic specimen cross sections, and computed tomographic scans demonstrate which vessels are at risk of injury should the inner cortex of the pelvis be penetrated. The iliac vessels are at risk of injury when penetration of the inner cortex of the pelvis occurs in the anterosuperior region of the acetabulum. The obturator vessels are at risk when penetration occurs in the anteroinferior quadrant of the acetabulum. The vessels can be within 0.5 cm of the inner cortex of the pelvis and tend to become closer with advancing age. Damage to the intrapelvic vessels may cause profound blood loss and hypotension when screw-fixation acetabular components are used. Rapid identification and immediate surgical repair of vessel lacerations are essential in the treatment of this complication.</description><identifier>ISSN: 0009-921X</identifier><identifier>EISSN: 1528-1132</identifier><identifier>DOI: 10.1097/00003086-199009000-00023</identifier><identifier>PMID: 2394047</identifier><identifier>CODEN: CORTBR</identifier><language>eng</language><publisher>Heidelberg: Springer</publisher><subject>Acetabulum - anatomy & histology ; Acetabulum - blood supply ; Biological and medical sciences ; Bone Screws - adverse effects ; Female ; Hip - anatomy & histology ; Hip - blood supply ; Hip - diagnostic imaging ; Hip Prosthesis - adverse effects ; Humans ; Iliac Vein - injuries ; Investigative techniques, diagnostic techniques (general aspects) ; Male ; Medical sciences ; Middle Aged ; Radiodiagnosis. Nmr imagery. 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D</creatorcontrib><title>The relationship of the intrapelvic vasculature to the acetabulum : implications in screw-fixation acetabular components</title><title>Clinical orthopaedics and related research</title><addtitle>Clin Orthop Relat Res</addtitle><description>The use of screw-fixation acetabular components in total hip arthroplasty could increase the incidence of vascular injury because of the increased use of drills and screws placed into the acetabulum in close proximity to major vessels. Analysis of two illustrative case studies, anatomic specimen cross sections, and computed tomographic scans demonstrate which vessels are at risk of injury should the inner cortex of the pelvis be penetrated. The iliac vessels are at risk of injury when penetration of the inner cortex of the pelvis occurs in the anterosuperior region of the acetabulum. The obturator vessels are at risk when penetration occurs in the anteroinferior quadrant of the acetabulum. The vessels can be within 0.5 cm of the inner cortex of the pelvis and tend to become closer with advancing age. Damage to the intrapelvic vessels may cause profound blood loss and hypotension when screw-fixation acetabular components are used. Rapid identification and immediate surgical repair of vessel lacerations are essential in the treatment of this complication.</description><subject>Acetabulum - anatomy & histology</subject><subject>Acetabulum - blood supply</subject><subject>Biological and medical sciences</subject><subject>Bone Screws - adverse effects</subject><subject>Female</subject><subject>Hip - anatomy & histology</subject><subject>Hip - blood supply</subject><subject>Hip - diagnostic imaging</subject><subject>Hip Prosthesis - adverse effects</subject><subject>Humans</subject><subject>Iliac Vein - injuries</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Radiodiagnosis. Nmr imagery. Nmr spectrometry</subject><subject>Tomography, X-Ray Computed</subject><issn>0009-921X</issn><issn>1528-1132</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1990</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kElLAzEYhoMotVZ_gpCDeItmmZlMvElxg4KXCt6GTPqFRmYzman135suTkgIvMsX8iCEGb1jVMl7GpegeUaYUpTGTUk8XJygKUt5ThgT_BRNo6aI4uzzHF2E8LUrJSmfoAkXKqGJnKLtcg3YQ6V71zZh7TrcWtxHzTW91x1UG2fwRgczxMjgAfft3tYGel0O1VDjB-zqrnLmMCIWcTAefoh12700ZrXHpq27toGmD5fozOoqwNXxnqGP56fl_JUs3l_e5o8LYnie9KS0xqSSy5xbCTqnMjErsJbzlK9yTYVJeCatBcG4LuOXKEusyMAAGC1kKcQM3R7mdr79HiD0Re2CgarSDbRDKKRSUmZSxmB-CBrfhuDBFp13tfa_BaPFDnrxD70YoRd76LF6fXxjKGtYjcUj5ejfHP0IUlfW68a4MMaSjKmcSfEHdoeM1A</recordid><startdate>19900901</startdate><enddate>19900901</enddate><creator>KIRKPATRICK, J. S</creator><creator>CALLAGHAN, J. J</creator><creator>VANDEMARK, R. M</creator><creator>GOLDNER, R. 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Nmr spectrometry</topic><topic>Tomography, X-Ray Computed</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>KIRKPATRICK, J. S</creatorcontrib><creatorcontrib>CALLAGHAN, J. J</creatorcontrib><creatorcontrib>VANDEMARK, R. M</creatorcontrib><creatorcontrib>GOLDNER, R. D</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical orthopaedics and related research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>KIRKPATRICK, J. S</au><au>CALLAGHAN, J. J</au><au>VANDEMARK, R. M</au><au>GOLDNER, R. D</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The relationship of the intrapelvic vasculature to the acetabulum : implications in screw-fixation acetabular components</atitle><jtitle>Clinical orthopaedics and related research</jtitle><addtitle>Clin Orthop Relat Res</addtitle><date>1990-09-01</date><risdate>1990</risdate><volume>258</volume><issue>258</issue><spage>183</spage><epage>190</epage><pages>183-190</pages><issn>0009-921X</issn><eissn>1528-1132</eissn><coden>CORTBR</coden><abstract>The use of screw-fixation acetabular components in total hip arthroplasty could increase the incidence of vascular injury because of the increased use of drills and screws placed into the acetabulum in close proximity to major vessels. Analysis of two illustrative case studies, anatomic specimen cross sections, and computed tomographic scans demonstrate which vessels are at risk of injury should the inner cortex of the pelvis be penetrated. The iliac vessels are at risk of injury when penetration of the inner cortex of the pelvis occurs in the anterosuperior region of the acetabulum. The obturator vessels are at risk when penetration occurs in the anteroinferior quadrant of the acetabulum. The vessels can be within 0.5 cm of the inner cortex of the pelvis and tend to become closer with advancing age. Damage to the intrapelvic vessels may cause profound blood loss and hypotension when screw-fixation acetabular components are used. Rapid identification and immediate surgical repair of vessel lacerations are essential in the treatment of this complication.</abstract><cop>Heidelberg</cop><pub>Springer</pub><pmid>2394047</pmid><doi>10.1097/00003086-199009000-00023</doi><tpages>8</tpages></addata></record> |
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| identifier | ISSN: 0009-921X |
| ispartof | Clinical orthopaedics and related research, 1990-09, Vol.258 (258), p.183-190 |
| issn | 0009-921X 1528-1132 |
| language | eng |
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| source | MEDLINE; Journals@Ovid Complete |
| subjects | Acetabulum - anatomy & histology Acetabulum - blood supply Biological and medical sciences Bone Screws - adverse effects Female Hip - anatomy & histology Hip - blood supply Hip - diagnostic imaging Hip Prosthesis - adverse effects Humans Iliac Vein - injuries Investigative techniques, diagnostic techniques (general aspects) Male Medical sciences Middle Aged Radiodiagnosis. Nmr imagery. Nmr spectrometry Tomography, X-Ray Computed |
| title | The relationship of the intrapelvic vasculature to the acetabulum : implications in screw-fixation acetabular components |
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