Late bleeding during anterior approach to the hip: case Report

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Marco Scaglia
Alessandro Ditta
Bruno Magnan
Ugo Navarro
Marco Cassini


direct anterior hip approach, artery embolization, late bleeding


Vascular injuries represent an uncommon complication of total hip arthroplasty, with an incidence of 0.1-0.3% as reported in the literature. The aim of the study is the description of a case of late bleeding in a female patient undergoing surgery for total hip arthroplasty in right osteoarthritis through direct anterior approach. The treatment carried out was a selective embolization of the main ascending branch of the lateral circumflex artery. This was performed by placing two spirals following an angiography, which was revealing an active spreading of contrast at the right femoral circumflex ascending artery. The effectiveness of endovascular techniques for the treatment of early and late bleeding after surgery is pointed out. 


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1 Kakwani R, Duggan J, Muller S. Femoral artery rupture during total hip arthroplasty. BMJ Case Rep. 2013; 2013:bcr2013009922. Published online 2013 aug 1.
2 Nachbur B, Meyer RP, Verkkala K, et. al. The mechanisms of sever arterial injury in surgery of the hip joint. Clin Orthop Relat Res 1979; 2013:122-33
3 Barrack RL, Butler RA. Avoidance and management of neurovascular injuries in total hip artrhtoplasty. Instr Course Lect 2003; 2013:267-74
4 Ramus JR, Gibson M, Magee T, et. al. Spontaneous rupture of the superficial femoral artery treated with endovascular stent-grafting. Cardiovasc Intervent Radiol 2007; 2013:1016-19
5 Grob K, Monahan R, Gilbey H, Yap F, Filgueira L, Kuster M. Distal extension of the direct anterior approach to the hip poses risk to neurovascular structures: an anatomical study. J Bone Joint Surg Am. 2015 Jan 21;97(2):126-32
6 Ick-Hwan Yang. Neurovascular injury in hip arthroplasty. Hip Pelvis. 2014 Jun;26(2):74-78
7 Hall C, Khan WS, Ahmed SI, Sochart DH. A rare case of arterial avulsion presenting with occult blood loss following total hip arthroplaty: a case report. J Med Case Reports. 2009;3:9320
8 Rossi G, Mavrogenis A, Angelini A, Rimondi E, Battaglia M, Ruggieri P. Vascular complications in orthopaedic surgery. J Long Term Eff Med Implants. 2011;21(2):127-37

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