Acute common femoral artery lesion after direct anterior approach for THA. A case report and literature review

Femoral artery intimal injury following total hip arthroplasty through the direct anterior approach: a rare but potential complication

“…It appears that the occurrence of vascular damage and the pattern of vascular lesion in THA does not depend on the surgical approach [8]. To our knowledge, only 1 case of vascular injury associated with primary THA via the DAA has been reported [12]. We have encountered 3 cases of vascular injury among 2456 direct anterior primary THAs (0.01%) in our center.…”

“…Various vascular lesions following THA have been reported in the literature, of which arterial intimal damage is uncommon [9], [10], [11]. Up to this date, only 1 case of vascular injury with the DAA in THA has been reported, which was a tear in the common femoral artery and the diagnosis had been delayed [12].…”

External iliac artery injury following total hip arthroplasty via the direct anterior approach—a case report

“…Vascular damage in THA via an anterior approach has been described in 2 recent case reports (Marongiu et al 2019, Mortazavi et al 2019. 2 patients had absent distal pulsations immediately after surgery.…”

“…A hemodynamically unstable patient due to external iliac artery injury during a DAA THA has, as far as we know, not yet been described in the literature. 2 recent case reports described common femoral artery lesions, closely related to external iliac artery injury, following THA through DAA (Marongiu et al 2019, Mortazavi et al 2019. In recent years THA via the DAA has gained popularity (Siquier et al 2004, Wang et al 2018.…”

“…All 3 patients had arterial intimal damage with thrombus formation. Marongiu et al (2019) reported damage of the common femoral artery caused by misplacement of the anterior retractor. The patient became symptomatic with dropped hemoglobin levels, hematoma, and groin pain a few days postoperatively.…”