고관절 전치환술후 발생한 족부괴사 (증례보고)

Abstract

Arterial injuries after total hip replacement are very rate rare but serious complications. The authors report a patient who developed late ischemia and gengrenous change of the ipsilateral foot following total hip replacement. The patient was smoker and had a hypertensive heart disease. The ischemia after total hip replacement was probably the result of interruption of collateral circulation about the hip and overextension of atherosclerotic artery, intimal fracture with subsequent thrombus formation, Careful preoperative evaluation, early recognition of ischemic signs and prompt institution of appropriate management are essential to prevent this complication and to treat it adequately once it occurs.