Lower limb deep vein thrombosis as a complication of posterior dislocation of a total hip replacement.
A case report
Keywords:
deep vein thrombosis, total hip arthroplasty, dislocationAbstract
CASE: A 56-year-old woman who developed deep venous thrombosis 6 weeks after dislocating her ipsilateral total hip replacement is presented. She was found to have an organising haematoma in her psoas and iliacus muscles compressing the common femoral and external iliac veins proximal to the thrombus on imaging. The haematoma was considered to have been caused by abrasion of the muscles against the sharp edge of the acetabular shell.
CONCLUSION: Deep venous thrombosis should be considered a cause of ipsilateral lower limb swelling in a patient who has recently had a posterior total hip replacement dislocation.