A lobulated pseudoaneurysm during acetabulum preparation in primary total hip arthroplasty

We report an unusual case of lobulated pseudoaneurysm arising from one of the branches of the left internal iliac artery during acetabulum preparation in THA, which was successfully treated with coil embolization and multidisciplinary care. After 6 years follow up, patient did not have any symptoms related to the hip replacement. We recommend that surgeons should be extremely cautious while drilling medial wall of the acetabulum for depth assessment. Aggressive multidisciplinary approach, including possible support from an interventional radiologist is required for the treatment of such vascular injuries.

Source: Indian Journal of Orthopaedics - February 29, 2016 Category: Orthopaedics Authors: Sanjay AgarwalaGanesh MohrirPradeep Moonot Source Type: research