| CASE REPORT |
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| Year : 2022 | Volume
: 19
| Issue : 2 | Page : 95-98 |
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Delayed vascular complication after total hip replacement
Vijaya Mohan, V Shyam Gopal
Department of Orthopaedics, Aster Medcity, Kochi, Kerala, India
Correspondence Address:
V Shyam Gopal
Department of Orthopaedics, Aster Medcity, Kochi, Kerala
India
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/joasis.joasis_23_22
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Vascular injuries following an arthroplasty are a nightmare for both patient and surgeon. When the presentation is delayed and atypical, it is of major concern. We present a case of late presentation of pseudoaneurysm of common femoral artery left hip following total hip replacement. A 54-year-old male presented with complaints of weakness and numbness left knee, following total hip arthroplasty, which was performed 4 months earlier at an outside institution for secondary osteoarthritis of the left hip. on evaluation was found to have pseudoaneurysm of Femoral artery. Due to the co morbid condition of the patient (CKD, DM, Obsity) elevated creatinine values non surgical method of embolization of the pseudoaneurysm via one coil and Gelfoam was deferred and was decided to manage the psuedoaneurysm surgically with repair and PTFE graft. High suspicion in the setting of unresolving postoperative pain, paralysis, or need for blood transfusions may allow for earlier diagnosis and avoidance of serious limb-threatening complications. Care during the procedure for accurate retractor placement and careful manipulation may help avoid serious complications.
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