PMID: 18198086Jan 17, 2008Paper

The role of understanding the media femoral circumflex artery course in total hip replacement

Acta chirurgiae orthopaedicae et traumatologiae Cechoslovaca
K GüttlerA Sosna

Abstract

On the basis of anatomical dissection of the medial femoral circumflex artery (MFCA) in 32 lower extremities and our clinical experience with managing the deep MFCA branch during total hip replacement surgery performed from the anterolateral approach, we sought a reliable treatment of the injured artery, including identification of the site for making the ligature or the way of avoiding damage to the artery during release of the capsule and pelvitrochanteric muscles. Anatomical dissection in the MFCA region on both lower extremities was carried out in 16 adult human cadavers. None of the bodies showed any signs of pathological lesions or post-operative, hip joint-related conditions. METHODS In 12 limbs, a gelatin injection was applied directly into the MFCA. In the remaining limbs dissection was performed without injecting the vessel. We studied the MFCA topography in relation to the surrounding structures, particularly where the MFCA runs along the femoral neck before entering the capsule. During dissection, we dislocated the hip in order to create a model situation similar to that during total hip replacement and to find out any possible changes in the course and tension of the artery due to manipulation with the limb during ...Continue Reading

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