AI Article Synopsis
- The study aimed to develop an algorithm for identifying and preventing vascular injuries in patients with intrapelvic components during hip surgeries.
- Patients were considered at risk when components migrated more than 5 mm beyond a specific anatomical line, leading to further CT angiography and evaluations by vascular surgeons.
- Out of ten patients assessed using the algorithm, six were deemed high-risk, resulting in the placement of preoperative stents to safeguard blood vessels during hip revision surgeries.
Article Abstract
Aims: Our objective was describing an algorithm to identify and prevent vascular injury in patients with intrapelvic components.
Methods: Patients were defined as at risk to vascular injuries when components or cement migrated 5 mm or more beyond the ilioischial line in any of the pelvic incidences (anteroposterior and Judet view). In those patients, a serial investigation was initiated by a CT angiography, followed by a vascular surgeon evaluation. The investigation proceeded if necessary. The main goal was to assure a safe tissue plane between the hardware and the vessels.
Results: In ten at-risk patients undergoing revision hip arthroplasty and submitted to our algorithm, six were recognized as being high risk to vascular injury during surgery. In those six high-risk patients, a preventive preoperative stent was implanted before the orthopaedic procedure. Four patients needed a second reinforcing stent to protect and to maintain the vessel anatomy deformed by the intrapelvic implants.
Conclusion: The evaluation algorithm was useful to avoid blood vessels injury during revision total hip arthroplasty in high-risk patients.Cite this article: 2022;3(11):859-866.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9709496 | PMC |
| http://dx.doi.org/10.1302/2633-1462.311.BJO-2021-0188.R1 | DOI Listing |
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