Delayed presentation of iliac artery injury by acetabular screw. Screw removal at liner revision of a 10-year-old uncemented acetabular shell resulted in unexpected catastrophic blood loss. Replacing the screw prevented further hemorrhage, and investigation revealed internal iliac artery injury caused by the screw. This was treated successfully by bypass grafting. Careful review of preoperative imaging should aim to identify those at risk and requiring further imaging before undergoing revision surgery.
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The Journal of Arthroplasty, Volume 28, Issue 1, 196.e15 - 196.e17
Hip
Internal Iliac Artery Injury and Total Hip Arthroplasty
Kong, Emily L.M. et al.Hip