Abstract:
:The incidence of vascular injuries associated with total hip arthroplasty (THA) is low. However, several vascular structures are at risk of injury within the pelvis. These include the external iliac, femoral, and obturator vessels. Both reaming of the acetabulum and drilling of the acetabular screw holes may place these structures at risk. If left untreated, injuries to these vessels may be associated with severe morbidity and mortality. In this report, an acute vascular complication that had an unusual presentation is highlighted. A 72-year-old woman presented to the emergency department following a road traffic accident in which she sustained a combined fracture of the right acetabulum and femoral head. Her treatment involved a combination of THA and pelvic open reduction and internal fixation. The immediate perioperative recovery period was uncomplicated. However, the patient developed a deep venous thrombus in her right calf 7 days after surgery. Further investigation revealed a second thrombus, occluding the right common femoral vein. Surgical exploration revealed that a screw placed during the initial surgery was pressing against the vessel and occluding it. The discrepancy in incidence between the development of deep venous thrombosis and vascular compression or injury means that the association between the 2 events is unlikely to be made. The author highlights this unusual presentation to improve early recognition and prompt management of similar cases. The importance of adequate preoperative planning and intraoperative imaging with a C-arm is also stressed.
journal_name
Orthopedicsjournal_title
Orthopedicsauthors
Khoriati AAdoi
10.3928/01477447-20140401-66subject
Has Abstractpub_date
2014-04-01 00:00:00pages
e407-9issue
4eissn
0147-7447issn
1938-2367journal_volume
37pub_type
杂志文章,收录出版相关文献
ORTHOPEDICS文献大全abstract::Athletic team coverage experience varies widely across orthopedic surgery residency programs in the United States. There is a paucity of literature regarding whether serving as a team physician contributes to resident education and whether it can be performed within the bounds of current work-hour restrictions. Reside...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20200827-08
更新日期:2020-11-01 00:00:00
abstract::Currently there is a difference of opinion regarding the advisability of unicompartmental total knee replacement. This report describes eight cases from a series of 100 consecutive total knee arthroplasties; results averaged 85.5 by the Cleveland Clinic knee evaluation forms. The followup period averages 37.4 months, ...
journal_title:Orthopedics
pub_type: 社论
doi:10.3928/0147-7447-19800401-04
更新日期:1980-04-01 00:00:00
abstract::The purpose of this study is to demonstrate that the percentage of obese individuals initially presenting to total joint arthroplasty clinics in a public, tertiary hospital is greater than the proportion of obese individuals in the general population. In a retrospective, comparative study of patients seen in total joi...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20151222-12
更新日期:2016-01-01 00:00:00
abstract::Antibiotics are commonly mixed with polymethylmethacrylate (PMMA) cement to suppress severe periprosthetic infections associated with total joint arthroplasty. The relationship between antibiotic concentration and the resulting elution kinetics remains unclear. The purpose of this study was to characterize the release...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20120327-19
更新日期:2012-04-01 00:00:00
abstract::The relative risk of total knee arthroplasty (TKA), high tibial osteotomy (HTO), and medial unicompartment (UKA) replacement for medial compartment arthritis is presented. Risk is defined as the product of the probability of an event occurring and its consequence. To define consequence, 2 related scales of impact (1 s...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20111021-04
更新日期:2011-12-06 00:00:00
abstract::Sternomanubrial dislocations are rare injuries. Although few cases of this injury have been reported in the literature, the etiology has varied widely: trampoline injury, seizures, falls from height, sporting injuries, gradual deformities from spine fractures, and motor vehicle collisions. This injury has been classif...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20120725-34
更新日期:2012-08-01 00:00:00
abstract::Hip fracture surgery carries a high risk of venous thromboembolism and, until recently, was poorly investigated. The efficacy and safety of fondaparinux, a new synthetic antithrombotic, were investigated in two large, thromboprophylaxis studies. Results of the Penthifra study, which was a randomized, double-blind phas...
journal_title:Orthopedics
pub_type: 杂志文章,评审
doi:
更新日期:2003-08-01 00:00:00
abstract::The literature is inconclusive on the development of adjacent-level vertebral fracture after initial cement augmentation. A preliminary hypotheses is that cement injection exaggerates force transmission to the adjacent vertebral bodies, thereby predisposing those levels to future fractures. A sandwich vertebra is an i...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20120725-24
更新日期:2012-08-01 00:00:00
abstract::Thyroid acropachy is a rare complication of thyroid disease most often occurring in patients with a long history of active Graves' disease with ophthalmopathy and dermopathy already present. It presents with digital clubbing and soft tissue swelling with possible pain in the digits. Plain radiographs show a solid peri...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20080101-38
更新日期:2008-01-01 00:00:00
abstract::In a retrospective review of 80 tibial plateau fractures, 28 fractures were treated nonoperatively with a variety of closed methods and 52 were treated with open reduction and internal fixation using AO technique. At an average follow up of 24 months, a satisfactory result was obtained in 87% of the operatively treate...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:1987-05-01 00:00:00
abstract::Twenty-two patients with fibrous dysplasia in the femoral neck or trochanteric area were treated with curettage and bone grafting with a sliding hip compression screw and plate. Follow-up ranged from 2 to 6 years (average: 4 years). Fourteen patients had monostotic and 8 had polyostotic disease. Four patients had path...
journal_title:Orthopedics
pub_type: 临床试验,杂志文章
doi:
更新日期:1998-12-01 00:00:00
abstract::Partial weight bearing is often prescribed for patients with orthopedic injuries. Patients’ ability to accurately reproduce partial weight bearing orders is variable, and its impact on clinical outcomes is unknown. This observational study measured patients’ ability to reproduce partial weight bearing orders, factors ...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20131219-10
更新日期:2014-01-01 00:00:00
abstract::Recently, 3-dimensional (3D) printing technology has been used in the development of titanium metaphyseal cones to manage severe bone loss in revision total knee arthroplasty (rTKA). This study assessed (1) radiographs; (2) functional outcomes; (3) complications; and (4) 2-year implant survivorship in patients receivi...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20201202-04
更新日期:2021-01-01 00:00:00
abstract::This study analyzed 14 patients with 17 broken intramedullary nails for the treatment of femoral fractures. Average distance from the fracture site was 7.9 cm in cases in which nail breakage occurred at the junction between the cylindrical and cloverleaf portions and 6.4 cm in cases in which nail breakage occurred at ...
journal_title:Orthopedics
pub_type: 临床试验,杂志文章
doi:10.3928/01477447-20080101-07
更新日期:2008-01-01 00:00:00
abstract:EDUCATIONAL OBJECTIVES:As a result of reading this article, physicians should be able to: 1. Identify the available types of reconstruction for failed total hip arthroplasty. 2. Summarize the preoperative workup of patients with failed total hip arthroplasty and massive proximal femoral bone loss. 3. Assess the surgica...
journal_title:Orthopedics
pub_type: 杂志文章,评审
doi:10.3928/01477447-20140924-07
更新日期:2014-10-01 00:00:00
abstract::Femoral deformity in primary total hip arthroplasty can make restoration of joint biomechanics difficult. The S-ROM (DePuy Orthopaedics Inc., Warsaw, Ind) prosthesis' modular design allows for independent matching of diaphyseal and metaphyseal anatomy. Corrective osteotomy may also be performed because the stem achiev...
journal_title:Orthopedics
pub_type: 杂志文章,多中心研究
doi:
更新日期:2005-09-01 00:00:00
abstract::The purpose of this study was to determine the influence of orthopedic surgeons' tying techniques on knot security using 2-0 and 4-0 monofilament and multifilament nylon sutures. Using an Instron Tensile Tester and a portable tensiometer, knot security was achieved with these sutures using four-throw square knots (1 =...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:1995-06-01 00:00:00
abstract::The Balanced Budget Act of 1997 mandated reductions in physician reimbursement. This reduction in payments could be envisioned to limit expenditures on 2 counts: first, individual fees would be lower, producing inherent savings. Furthermore, reducing fees should depress the incentive to work, thereby generating additi...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20121120-28
更新日期:2012-12-01 00:00:00
abstract::We report a case of a skeletally immature achondroplastic adolescent with significant thoracolumbar lordosis who presented with neurogenic claudication and urinary incontinence progressing over a 1-year period. She underwent decompressive lumbar laminectomy from T12 to L5 with preservation of the facet joints. Over th...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20080201-01
更新日期:2008-02-01 00:00:00
abstract::Hemipelvectomy is a rare procedure performed for tumor resection or trauma. The limb may be spared, and the patients often require extensive rehabilitation. We report the outcome of a total hip arthroplasty (THA) in a patient with endstage hip arthritis in a high dislocated hip contralateral to a remote, traumatic hem...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:2009-02-01 00:00:00
abstract::Incorrect bone tunnel position, particularly on the femoral side, is a frequent cause of failed anterior cruciate ligament reconstruction. Several studies have reported that drilling the femoral tunnel through the anteromedial portal allows a more anatomical placement on the lateral femoral condyle and higher knee sta...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20120725-14
更新日期:2012-08-01 00:00:00
abstract::Sural nerve grafts have applicability in many facets of reconstructive surgery. A harvesting technique is described which utilizes a tendon stripper introduced through a single distal incision. This method provides adequate length of autogenous graft material without significant difficulty or morbidity. ...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:1985-09-01 00:00:00
abstract::This article examines a rare association of carpal tunnel syndrome and trigger finger produced by a single flexor tendon tumor. Examination and treatment is also discussed. ...
journal_title:Orthopedics
pub_type: 社论
doi:10.3928/0147-7447-19810301-07
更新日期:1981-03-01 00:00:00
abstract::While bone-patellar tendon-bone (BPTB) interference screw anterior cruciate ligament (ACL) reconstruction is a biomechanically sound construct, alternative techniques have been developed secondary to potential donor site morbidity. This study evaluates a system designed to address this problem that involves a transfem...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:1999-06-01 00:00:00
abstract::Pain control after total knee arthroplasty (TKA) is integral in the immediate postoperative period for early rehabilitation. Numerous different methods of postoperative analgesia are available, but each has its own risk of adverse side effects. This study was performed to prospectively evaluate the benefits of an intr...
journal_title:Orthopedics
pub_type: 杂志文章,随机对照试验
doi:10.3928/01477447-20110317-11
更新日期:2011-05-18 00:00:00
abstract::A cross-sectional study was conducted in 3995 non-hospitalized diabetic patients to evaluate symptoms commonly associated with "diabetic foot" syndrome. Each patient was examined twice over 2 years during routine follow-up. The male/female ratio differed significantly between the study group and general population. Me...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:2003-11-01 00:00:00
abstract::This study compared different concentrations of transforming growth factor-beta 1 (TGF-beta1) used for short-term preincubation in vitro of large periosteal explants to determine the effect of chondrogenesis and the fate of repair cartilage over time. Eighty-two rabbits were divided into four groups: group A, non-graf...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:2003-04-01 00:00:00
abstract::Distal clavicle osteolysis is an uncommon condition that most commonly affects weight lifters and other athletes who perform repetitive overhead activity. Although this condition most commonly presents in young active men, it is becoming increasing more common in women with the rise in popularity of body building and ...
journal_title:Orthopedics
pub_type: 杂志文章,评审
doi:10.3928/01477447-20161128-03
更新日期:2017-03-01 00:00:00
abstract::The EMG-force relationships of skeletal muscles are of significant interest to the orthopedic-biomechanics researcher and have been a topic of interest and controversy for the last three decades. We present the developments reported in the literature, from the early 1950s, relevant to this topic, outlining the details...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:1986-11-01 00:00:00
abstract::Marijuana use among orthopedic patients has not been extensively studied. The purpose of this study was to investigate the prevalence of marijuana use among orthopedic surgery patients. Additionally, the authors sought to better characterize how and why their patients use marijuana. Patients presenting at 3 institutio...
journal_title:Orthopedics
pub_type: 杂志文章,多中心研究
doi:10.3928/01477447-20191212-07
更新日期:2020-03-01 00:00:00