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External iliac arteriovenous fistula following total hip arthroplasty. A case report. journal of arthroplasty Woolson, S. T., Maloney, W. J., Tanner, J. B. 1989; 4 (3): 281-284

Abstract

An external iliac arteriovenous fistula developed 3 years after revision of the acetabular component of a total hip arthroplasty in a patient with rheumatoid arthritis. The mechanism of this complication, which also produced disseminated intravascular coagulopathy, was chronic erosion of the iliac artery from a large bolus of bone cement and/or the protrusio shell that were used to reconstruct a severe acetabular protrusio. Care must be taken to avoid intrapelvic intrusion of hardware or cement during acetabular reconstruction to avoid immediate and late injury to the iliac vessels.

View details for PubMedID 2795035