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Blood vessel and nerve damage in hip surgery

Ping Zhen, Xusheng Li, Shenghu Zhou, Hao Lu, Hui Chen, Jun Liu
BACKGROUND: The treatment of acetabular protrusions during total hip arthroplasty of patients with rheumatoid arthritis is difficult. A lack of bone stock, deficient medial cup support, and medialization of the joint center in those with protrusio acetabuli must be addressed during acetabular reconstruction. The purpose of this study was to assess the short-term clinical results of total hip arthroplasty in patients with severe acetabular protrusions secondary to rheumatoid arthritis...
April 19, 2018: Journal of Orthopaedic Surgery and Research
Xintao Zhang, Xiaocheng Jiang, Feilin He, Zuru Liang, Tian You, Dadi Jin, Wentao Zhang
PURPOSE: The treatment of gluteal muscle contracture (GMC) after failed primary open release surgery has rarely been reported in the literature. GMC is a troublesome health problem in some developing countries, and it can result in the limitation of patients' hip function, leading to the development of inferiority complexes. The aim of this study is to evaluate the effect of arthroscopic revision surgery after failed primary open release on patients with GMC. METHODS: A total of 278 hips of 140 patients who underwent arthroscopic revision procedures after failed primary open surgeries were gathered from the department files...
August 2017: International Orthopaedics
Mohamed Altayeb Mussa, Tamer Ahmed Sweed, Aazer Khan
PURPOSE: To analyse informed consent documentation of 100 patients undergoing elective primary total hip replacement (THR) or total knee replacement (TKR) using generic forms with blank spaces. METHODS: Informed consent documentation of 57 men and 43 women (mean age, 54 years) undergoing elective primary THR (n=50) or TKR (n=50) using generic forms with blank spaces were analysed. The consent forms were explained to the patients mostly on the morning of surgery by a consultant surgeon (n=21), specialist registrar (n=23), or senior house officer (n=56)...
August 2014: Journal of Orthopaedic Surgery
S Dietze, C Perka, H Baecker
Blood vessel and nerve damage are uncommon complications in total hip arthroplasty (THA). With an incidence between 0.1 and 0.2 % in primary THA these complications are rare but can be serious with a high mortality risk. The individual risk is determined by multiple factors depending on the surgeon's skills, the number of previous surgeries and the approach itself. The anatomy of the defect is an essential risk factor. Some procedures, such as the use of screws for cup fixation are associated with a higher risk of vascular and neural damage...
January 2014: Der Orthopäde
J Natali
The vascular risk in orthopedic surgery results from the close relation between bones and vessel-nerve bundles, the use of sharp cutting and perforating instruments and, in hip surgery, the use of cement. The two main prognosis factors are early diagnosis and the time of treatment. Here we review risks by localizations. For spinal surgery, the great vessels may be damaged by discetomy and can lead to intraperitoneal bleeding and death or arteriovenous fistulization. In the scapular area, pin migrations after surgery involving the clavicle can lead to bleeding or false aneurysms of the subclavian artery...
November 1996: Journal des Maladies Vasculaires
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