Intrapelvic complications after total hip arthroplasty failure

Bach, Christian; Steingruber, Iris; Ogon, M; Maurer, Herbert; Nogler, Michaël; Wimmer, Cornelius

doi:10.1016/s0002-9610(01)00845-5

Cited by 68 publications

(37 citation statements)

References 33 publications

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“…In general, regardless of the surgical approach, injuries have been reported in all the main vessels around the hip, the common femoral artery being the most reported damaged vessel and the external iliac artery thereafter (Shoenfeld et al 1990, Lazarides et al 1991. They are at risk because of their anatomical location (Bach et al 2002, Kawasaki 2012. At the level of the anterior inferior iliac spine the external iliac vessels lie only 7 millimeters from the bone.…”

Section: Discussionmentioning

confidence: 99%

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

et al. 2020

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Section: Discussionmentioning

confidence: 99%

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

et al. 2020

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“…Documented cases for late sciatic nerve palsy also have included entrapment of methylmethacrylate fragments, migrating trochanteric wires, dislocation of the hip, hemorrhage, migration of the acetabular cup, and wear debris containing a mass [1,3,5]. Among 50 cases in a meta-analysis of the English literature regarding intrapelvic complications after THA failure, Bach et al [2] identified only three cases of sciatic nerve injury [5,18] and two cases involving intrapelvic mass formation [10,13].…”

Section: Discussionmentioning

confidence: 99%

“…However, intrapelvic vessel, urogenital tract, and intestinal tract complications were more common [2]. In a thorough recent report, Hananouchi et al [6] described a huge pelvic mass causing severe ureteral obstruction and found 18 additional cases of pelvic masses caused by particle debris after THA.…”

Section: Discussionmentioning

confidence: 99%

Case Report: Femoral Neuropathy Secondary to Total Hip Arthroplasty Wear Debris

Fokter

Repše-Fokter²,

Takač

2009

Clinical Orthopaedics &Amp; Related Research

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Femoral nerve palsy after THA is well known, but delayed palsy is rare. We describe a 58-year-old man who had progressive thigh pain, weakness, and numbness develop 13 years after cementless arthroplasty of his left hip. Plain radiographs showed substantial liner wear. MRI of the lumbar spine was unrevealing and EMG showed a peripheral neurogenic process involving the left femoral nerve. The large intrapelvic cystic mass was confirmed by an abdominopelvic CT scan. Percutaneous aspiration of the cyst was performed. Cultures of the fluid were negative and cytopathologic examination showed necrotic debris without malignant cells. Biopsy revealed necrosis and abundant foreign body granulation tissue with polarizable debris. During surgical removal of the cyst, a defect of the inner acetabular wall was noted. After subsequent revision arthroplasty with allograft bone, the patient's clinical symptoms improved and his EMG returned to normal.

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“…It is described most commonly in association with a hip joint surgery or complicated diverticular disease of distal colon, inflammatory bowel disease, prolonged steroid use, and pelvic irradiation for malignancy. Though rare, coloarticular fistulas are the most common type of gastrointestinal tract complications following hip arthroplasty [1]. It can be associated with high mortality rates, especially in the absence of prompt diagnosis and treatment.…”

Section: Introductionmentioning

confidence: 99%

Coloarticular Fistula: A Rare but Potentially Fatal Complication

Ewongwo¹,

Choudhury²,

Omesiete³

et al. 2020

COR

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Introduction: Coloarticular fistula is a very rare entity and is a potential complication after total hip arthroplasty. Discussions surrounding coloarticular fistulas is presented mainly as case reports in the literature. Case: A 66-year-old Caucasian female evaluated at our institution for left hip pain and weakness. Radiologic evaluation showed periprosthetic infection with further discovery of air in the hip joint. Abdominal exploration by general surgery did not show any intraoperative findings concerning for coloarticular fistula. Diagnosis of coloarticular fistula was later made with a gastrograffin enema study following negative findings from MRI of pelvis with contrast. She was treated with distal transverse colostomy. The patient had a difficult post-operative course with sepsis and multi-organ failure that resulted in death. Conclusion: Coloarticular fistula is a rare complication of hip arthroplasty and is associated with high morbidity and mortality rates. This complication should be taken into consideration during evaluation of hip joint infections in patients with history of hip arthroplasty. Despite prompt diagnosis and treatment final outcome may be fatal.

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Intrapelvic complications after total hip arthroplasty failure

Cited by 68 publications

References 33 publications

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

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

Case Report: Femoral Neuropathy Secondary to Total Hip Arthroplasty Wear Debris

Coloarticular Fistula: A Rare but Potentially Fatal Complication

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