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Unusual association of diseases/symptoms
CASE REPORT
Bilateral lower limb ischaemia following acetabular reconstruction and arthroplasty
  1. Nadim Tarazi,
  2. Alastair Thomas,
  3. Majid Chowdhry,
  4. Andrew Carrothers
  1. Trauma and Orthopaedics, Addenbrooke’s Hospital, Cambridge, UK
  1. Correspondence to Nadim Tarazi, nadimtarazi{at}rcsi.ie

Summary

The incidence of acetabular fractures has increased markedly in patients over 60 in the last quarter of a century, with open reduction and internal fixation being regarded to be the treatment of choice in most patients with displaced acetabular fractures. Lower limb ischaemia following acetabular fixation or arthroplasty is rare. However, such complications can be limb or life threatening, and therefore, it is important to recognise them as early as possible. We present the case of a 70-year-old man with no significant medical history who underwent acetabular fixation with simultaneous arthroplasty complicated with bilateral lower limb ischaemia. We highlight the importance of having a high degree of suspicion which allows early diagnosis and corrective measures to be implemented which can ultimately lead to excellent outcome.

  • orthopaedic and trauma surgery
  • vascular surgery

https://doi.org/10.1136/bcr-2017-223779

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    Footnotes

    • Contributors NT, AT, MC and AC contributed to conception, design and planning of article. NT, AT and MC contributed to acquisition of data, interpretation of data. NT, AT, MC and AC contributed to write-up, revision and final approval of the article. All authors read and approved the final manuscript.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.