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The Journal of Arthroplasty, ISSN: 0883-5403, Vol: 25, Issue: 4, Page: 660.e1-660.e4
Hip
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External Iliac Artery Injury Complicating Prosthetic Hip Resection for Infection
Glenn D. Wera; Nicholas T. Ting; Craig J. Della Valle; Scott M. SporerHip
Vascular injury is a rare but devastating complication of total hip arthroplasty. We present 2 cases of external iliac artery injury that complicated the removal of a chronically infected total hip arthroplasty where the acetabular component had migrated medial to Kohler’s line. In both cases, hemostasis and reperfusion were achieved with the assistance of a vascular surgeon. This report describes the diagnosis, treatment, and associated risk factors for this rare complication. The combination of deep infection and medial migration of the acetabular component represents a high-risk situation for vascular injury. We advocate preoperative consultation with a vascular surgeon in this setting.
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