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Femoral Nerve Palsy Associated with Iliacus Hematoma Following Pseudoaneurysm After Revision Hip Arthroplasty
- Source :
- The Journal of Arthroplasty. 23:1240.e1-1240.e4
- Publication Year :
- 2008
- Publisher :
- Elsevier BV, 2008.
-
Abstract
- 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.
- Subjects :
- Reoperation
medicine.medical_specialty
Arthroplasty, Replacement, Hip
medicine.medical_treatment
Bone Screws
Iliac Artery
Pseudoaneurysm
Aneurysm
Hematoma
medicine
Humans
Orthopedics and Sports Medicine
cardiovascular diseases
Femoral nerve palsy
Revision hip arthroplasty
Aged
Femoral Neuropathy
business.industry
Arterial Embolization
medicine.disease
Arthroplasty
Surgery
cardiovascular system
Female
Radiology
Tomography, X-Ray Computed
Complication
business
Aneurysm, False
Subjects
Details
- ISSN :
- 08835403
- Volume :
- 23
- Database :
- OpenAIRE
- Journal :
- The Journal of Arthroplasty
- Accession number :
- edsair.doi.dedup.....03659d4fb5df2e409d17975863e76a7d
- Full Text :
- https://doi.org/10.1016/j.arth.2007.10.018