Arterial vascular injuries in hip prosthesis implantation
Krenzien, J.; Gussmann, A.
Zentralblatt für Chirurgie 123(11): 1292-1296
1998
ISSN/ISBN: 0044-409X PMID: 9880850 Document Number: 490459
Implantation of total endoprosthesis (TEP) is an established method for the operative therapy of acute and chronic hip dysfunction. Beside septic complications iatrogenic injuries of the vascular system regularly occur. Immediate and adequate therapy is necessary in order to prevent loss of an extremity or even patients death. We present three patients with major vascular injuries during hip joint operations. In two patients was the external iliac artery and in one the femoral common artery injured. The cases were managed with PTFE- or Dacron-interposition. The problem of vascular injuries associated with the implantation of total hip joint endoprosthesis will be discussed and the avoidable of most vascular lesions is underlined.