J Korean Hip Soc.  2007 Sep;19(3):197-203. 10.5371/jkhs.2007.19.3.197.

Treatment of Acute Arterial Thrombosis after Total Hip Replacement Arthroplasty Using Urokinase: A Report of Two Cases

Affiliations
  • 1Department of Orthopedic Surgery, St. Mary's Hospital, College of Medicine, The Catholic University, Seoul, Korea. sykwon@catholic.ac.kr

Abstract

Arterial thrombosis of the lower extremity following total hip replacement is a rare but serious complication that threatens the lower limb and sometimes the life of the patient. We report two cases of an arterial occlusion after total hip arthroplasty. The cause of the occlusion is believed to be a thromboembolism in elderly patients due to underlying artherosclerosis. In the case of multifocal artherosclerosis, a vein graft is not feasible and an infusion of a thrombolytic drug is the optimal treatment. However, the result of this method varies.

Keyword

Thrombosis; Total hip replacement arthroplasty; Urokinase

MeSH Terms

Aged
Arthroplasty*
Arthroplasty, Replacement, Hip*
Humans
Lower Extremity
Thromboembolism
Thrombosis*
Transplants
Urokinase-Type Plasminogen Activator*
Veins
Urokinase-Type Plasminogen Activator

Cited by  1 articles

Thrombotic Occlusion of the External Iliac and Popliteal Arteries after Hip Hemiarthroplasty - A Case Report -
Hong-Man Cho, Won-Yu Kang, Cheol Park, Hwang-Se Bong
Hip Pelvis. 2012;24(4):333-337.    doi: 10.5371/hp.2012.24.4.333.

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