Septic loosening of hip endoprosthesis with acetabular protrusion and damage of external iliac artery: case report
Clinical Practice
Valentinas Uvarovas
Clinic of Rheumatology, Traumatology, Orthopaedic and Reconstructive Surgery, Faculty of Medicine Vilnius University, Republican Vilnius University Hospital, Šiltnamių Str. 29, LT-04130 Vilnius, Lithuania
Manvilius Kocius
Clinic of Rheumatology, Traumatology, Orthopaedic and Reconstructive Surgery, Faculty of Medicine Vilnius University, Republican Vilnius University Hospital, Šiltnamių Str. 29, LT-04130 Vilnius, Lithuania
Jurij Voitkun
Clinic of Rheumatology, Traumatology, Orthopaedic and Reconstructive Surgery, Faculty of Medicine Vilnius University, Republican Vilnius University Hospital, Šiltnamių Str. 29, LT-04130 Vilnius, Lithuania
Indrė Kuropatkinaitė
Clinic of Rheumatology, Traumatology, Orthopaedic and Reconstructive Surgery, Faculty of Medicine Vilnius University, Republican Vilnius University Hospital, Šiltnamių Str. 29, LT-04130 Vilnius, Lithuania
Simonas Kaupas
Clinic of Rheumatology, Traumatology, Orthopaedic and Reconstructive Surgery, Faculty of Medicine Vilnius University, Republican Vilnius University Hospital, Šiltnamių Str. 29, LT-04130 Vilnius, Lithuania
Published 2015-01-01
https://doi.org/10.15388/LietChirur.2015.2.8251
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Keywords

endoprotezavimas
sepsinis išklibimas
endoprotezo protrūzija
išorinės klubo arterijos sužalojimas

How to Cite

1.
Uvarovas V, Kocius M, Voitkun J, Kuropatkinaitė I, Kaupas S. Septic loosening of hip endoprosthesis with acetabular protrusion and damage of external iliac artery: case report. LS [Internet]. 2015Jan.1 [cited 2022Jan.22];14(2):116-22. Available from: https://www.journals.vu.lt/lietuvos-chirurgija/article/view/8251

Abstract

In this article, we describe a rare complication after total hip arthroplasty (THA). Because of the hip arthrosis, a rutine primary arthroplasty was made. During the first month after arthroplasty, four luxations of the endoprosthesis occurred. In one month after primary THA, the revision surgery with a double mobility acetabular component was made because of the loosening of the acetabular component. After 12 months, because of the progressive septic protrusion of the acetabular component, revision surgery was done. An acetabular component protrusion, which damaged the wall of a. illiaca externa, was found. Because of multiple sites of the femus and acetabulus osteomielytis, exarticulation of the hip was done.

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