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Case Reports   |    
External Iliac Artery Injury from Migrated Antibiotic Hip SpacerA Case Report
Paul H. Yi, BA1; Bryan D. Haughom, MD1; Scott M. Sporer, MD, MS1
1 Rush University Medical Center, 1611 West Harrison Street, Suite 300, Chicago, IL 606012. E-mail address for S.M. Sporer: scottsporer@gmail.com
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Investigation performed at Rush University Medical Center, Chicago, Illinois



Disclosure: None of the authors received payments or services, either directly or indirectly (i.e., via his or her institution), from a third party in support of any aspect of this work. One or more of the authors, or his or her institution, has had a financial relationship, in the thirty-six months prior to submission of this work, with an entity in the biomedical arena that could be perceived to influence or have the potential to influence what is written in this work. No author has had any other relationships, or has engaged in any other activities, that could be perceived to influence or have the potential to influence what is written in this work. The complete Disclosures of Potential Conflicts of Interest submitted by authors are always provided with the online version of the article.

Copyright © 2013 by The Journal of Bone and Joint Surgery, Inc.
JBJS Case Connector, 2013 Aug 14;3(3):e80 1-5. doi: 10.2106/JBJS.CC.M.00042
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Extract

Vascular injury after total hip arthroplasty is a rare but devastating event1,2 with high morbidity and mortality3 and litigation risk1. Clinical presentations are variable, ranging from obvious swelling4 and limb ischemia5 to hypotension that is unresponsive to resuscitation with fluids and blood6. Factors associated with increased risk of vascular injury after total hip arthroplasty include revision surgery, female sex, and intrapelvic migration of the acetabular components in the setting of periprosthetic joint infection (PJI)6.
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    Accreditation Statement
    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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