PDF(Pubmed)
Abstract：
An 85-year-old man underwent hemiarthroplasty for a left intertrochanteric femoral fracture at another hospital two years prior. While under outpatient monitoring, the left femur displacement occurred. Therefore, total hip arthroplasty of the left hip was scheduled. However, during acetabular cup insertion damage to the inner plate led to a sudden decrease in blood pressure from 120 to 60 mmHg. The physicians suspected a pelvic vascular injury and promptly stopped the procedure. In case of adhesion between the acetabular cup and the left iliac vein, intraoperative vascular damage would be repaired via endovascular intervention. Subsequently, orthopedic surgery was cautiously performed, taking into account the potential of a vascular injury. The surgery proceeded as planned without vascular intervention. This case involved a patient with suspected injury to the iliac vein and artery during acetabular cup placement. Following comprehensive enhanced CT and angiography tests, orthopedic surgery was performed in preparation for potential vascular damage, demonstrating the multidisciplinary approach to managing such cases.
摘要：
两年前，一名85岁的男子在另一家医院接受了左股骨粗隆间骨折的半髋关节置换术。在门诊监测下，发生左股骨移位。因此,安排了左髋关节全髋关节置换术.然而,在髋臼杯插入过程中，内板损坏导致血压突然从120降至60mmHg。医生怀疑骨盆血管损伤，并立即停止了手术。如果髋臼杯和左髂静脉粘连，术中血管损伤可通过血管内介入修复。随后，骨科手术谨慎进行，考虑到血管损伤的可能性。手术按计划进行，没有血管介入。该病例涉及一名患者，在髋臼杯放置过程中可疑损伤髂静脉和动脉。经过全面的增强CT和血管造影检查，骨科手术是为了准备潜在的血管损伤，展示了管理此类案件的多学科方法。
