인공 고관절 전치환술에서의 혈관 손상 -증례보고- = Vascular Injuries in Total Hip Arthroplasty -Case Report-

다국어 초록 (Multilingual Abstract)

Although the rate of vascular complication of reconstruction is uncommon in total hip arthroplasty, human life could be threatened or patients may lose their lower limbs by the vascular injuries'. As the numbers of revision surgery are increasing, the surgeon should be alert to recognize the vascular accident and make a prompt management to save limbs. We have experienced four cases of vascular injuries during total hip arthroplasties. Two cases were happened during revision surgeries, one case of secondary operation after a fixation failure of trochanteric fracture and a primary total hip arthroplasty with Cushing syndmme. Two cases of vascular injuries were found during acetabular replacement, screw fixation and temporary steinmann fix- ation of bone graft. And there were two cases with bleeding tendency and significant blood loss was found even from small vascular branches, which was managed by the angiographic embolization in one case. All cases could be managed by vascular surgery or angiographic embolization. We realized that the vascular injuries needed urgent management including vascular surgery and angiogram. And embolization under angiogram was safe and very helpful even in bleeding tendency.