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KMID : 0386719950070020168
Journal of the Korean Hip Society
1995 Volume.7 No. 2 p.168 ~ p.171
Ischemia of the Lower Extremity after Total Hip Replacement (A Case Report).




Abstract
Arterial injuries after total hip replacement are very rate rare but serious complicatiuons. The authors report a patient who developed late ischemia and gengrenous change of the ipsilateral foot following total hip replacement. The patient was
smoker
and had a hypertensive heart disease. The ischemia after total hip replacement was probably the result of interruption of collateral circulation about the hip and overextension of atherosclerotic artery, intimal fracture with subsequent thrombus
formation, Careful preoperative evaluation, early recognition of ischemic signs and prompt institution of appropriate management are essential to prevent this complication to treat it adequately once it occurs.
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