Document Detail


Femoral nerve palsy associated with iliacus hematoma following pseudoaneurysm after revision hip arthroplasty.
MedLine Citation:
PMID:  18534465     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Iliacus hematoma associated with femoral nerve palsy is a very rare but considerable complication of hip arthroplasty. A 76-year-old woman had femoral nerve palsy 6 months after revision hip arthroplasty using a reinforcement plate. Computed tomography and selective angiography revealed the pseudoaneurysm on an extension of one of the screws fixing the hardware. Transcatheter arterial embolization proximal to the aneurysm was performed to resolve the aneurysm and to prevent further bleeding. Surgical removal of the hematoma was successfully achieved, as was full functional recovery. This case report describes our diagnosis and treatment of this rare condition and also the therapeutic usefulness of the radiologic intervention to control further bleeding before and after surgical removal of the hematoma.
Authors:
Yoshihide Nakamura; Hiromasa Mitsui; Satoshi Toh; Yoshimitsu Hayashi
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2008-03-14
Journal Detail:
Title:  The Journal of arthroplasty     Volume:  23     ISSN:  1532-8406     ISO Abbreviation:  J Arthroplasty     Publication Date:  2008 Dec 
Date Detail:
Created Date:  2008-11-12     Completed Date:  2009-02-27     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8703515     Medline TA:  J Arthroplasty     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1240.e1-4     Citation Subset:  IM    
Affiliation:
Department of Orthopaedic Surgery, Hirosaki University Graduate School of Medicine, Hirosaki, Japan.
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MeSH Terms
Descriptor/Qualifier:
Aged
Aneurysm, False / complications,  diagnosis*,  surgery
Arthroplasty, Replacement, Hip / adverse effects*
Bone Screws
Female
Femoral Neuropathy / diagnosis*,  etiology
Hematoma / complications,  diagnosis*,  surgery
Humans
Iliac Artery*
Reoperation / adverse effects*
Tomography, X-Ray Computed

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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