A Review on Total Hip Replacement and Vascular Complications

Introduction: Total hip arthroplasty (THA) is a typical surgical procedure with uncommon and preventable complications. However, most adverse events following THA are unusual and preventable or easily treated as expected. This study examined the two common complications of the THA procedure namely: orthopedic and vascular complications and their management.Methods: The primary search began with reviewing   citations from PubMed, and Scopus, between ۱۹۹۱ and ۲۰۲۰ using the keywords: (Hip arthroplasty) or (Arthroplasty AND Hip AND vascular Complications).Results: Overall, ۱۱۷ articles were extracted with the initial search. Then ۶۷ studies were selected and used in the present study according to inclusion criteria. The studies reputed thromboembolic disease as vascular complications. The management of vascular complications includes preoperative management, preoperative clinical investigation, intraoperative, and postoperative management.Conclusion: In general, vascular injuries are rare in hip replacement surgeries. Vascular injuries can appear early in surgery, in the mid-term as postoperative bleeding, and later as pseudo-aneurysms.

Keywords:

Arthroplasty , complication , HIP , Management