Total hip revision arthroplasty of high-risk pelvic vascular injury associated with an endovascular approach: a case report

Publication date: Available online 27 July 2018Source: Revista Brasileira de Ortopedia (English Edition)Author(s): Rafael Leite de Pinho Tavares, Elias Arcenio Neto, Walter TakiAbstractVascular injury during a revision total hip revision arthroplasty surgery is an uncommon event; nonetheless, it is recognized as an intraoperative complication. Preoperative planning becomes imperative in such cases, especially when there is a conflict between the implanted material and the iliac vessels. Usually an ilioinguinal approach is used to identify the vascular structures at risk and isolate them from the prosthetic components, which increases the duration and morbidity of the procedure for the patient. The article describes a less invasive alternative approach to prevent intraoperative arterial injury. The patient was informed that the data related to her case would be submitted for publication and signed an informed consent form.ResumoA lesão vascular durante cirurgia de revisão da artroplastia do quadril é um evento incomum, porém reconhecido como complicação perioperatória. O planejamento pré-operatório torna-se imperativo nesses casos, especialmente quando há conflito entre o material implantado e os vasos ilíacos. Usualmente faz-se uma abordagem com via de acesso ilioinguinal para identificar as estruturas vasculares em risco e isolá-las dos componentes protéticos, o que aumenta o tempo de duração e a morbidade do procedimento para o paciente. O artigo descreve uma...

Source: Revista Brasileira de Ortopedia - July 28, 2018 Category: Orthopaedics Source Type: research