Bilateral lower limb ischaemia following acetabular reconstruction and arthroplasty

BMJ Case Reports
Nadim TaraziAndrew Carrothers

Abstract

The incidence of acetabular fractures has increased markedly in patients over 60 in the last quarter of a century, with open reduction and internal fixation being regarded to be the treatment of choice in most patients with displaced acetabular fractures. Lower limb ischaemia following acetabular fixation or arthroplasty is rare. However, such complications can be limb or life threatening, and therefore, it is important to recognise them as early as possible. We present the case of a 70-year-old man with no significant medical history who underwent acetabular fixation with simultaneous arthroplasty complicated with bilateral lower limb ischaemia. We highlight the importance of having a high degree of suspicion which allows early diagnosis and corrective measures to be implemented which can ultimately lead to excellent outcome.

References

Jul 1, 1997·Der Unfallchirurg·A SchätzlerD Raithel
Dec 1, 2009·Journal of Medical Case Reports·Mikel L ReilinghRachid Saouti
Feb 5, 2010·The Journal of Bone and Joint Surgery. British Volume·T A FergusonJ M Matta
Sep 3, 2010·The Journal of Arthroplasty·Waqas M HussainDavid W Manning
Feb 24, 2017·Clinical Cases in Mineral and Bone Metabolism : the Official Journal of the Italian Society of Osteoporosis, Mineral Metabolism, and Skeletal Diseases·Colin G Murphy, Andrew D Carrothers

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