Hip Pelvis.  2012 Dec;24(4):333-337. 10.5371/hp.2012.24.4.333.

Thrombotic Occlusion of the External Iliac and Popliteal Arteries after Hip Hemiarthroplasty: A Case Report

• Cho HM
• Kang WY
• Park C
• Bong HS

• KMID: 1425051
• DOI: http://doi.org/10.5371/hp.2012.24.4.333

Abstract

Vascular complications related to hip arthroplasty are common, however, total occlusion of a critical artery that threatens survival of an extremity is extremely rare. We report on a patient who had thrombotic arterial occlusions at the iliac and popliteal arteries following hemiarthroplasty of the hip.

Keyword

Arterial occlusion; Hip hemiarthroplasty

MeSH Terms

Arteries
Arthroplasty
Extremities
Hemiarthroplasty
Hip
Humans
Popliteal Artery

Figure

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  Fig. 1 (A) A 82-year-old patient visited our hospital with left hip pain. This radiograph shows a fracture of the neck of left femur. (B) A bipolar hemiarthroplasty was done with a routine manner.

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  Fig. 2 (A) Arteriogram shows occlusion of the left external iliac artery and multiple atherosclerotic lesions at both iliac artery and femoral artery. (B) Reperfusion of blood supply was gained by using a stent insertion and urokinase injection.

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  Fig. 3 (A) The popliteal artery was obstructed by a thrombus just above the knee joint. (B) After using a continuous injection of urokinase, a follow up arteriography shows a incomplete thrombolysis and reperfusion.

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