Volume 4, Issue 1, Pages (March 2018)

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Volume 4, Issue 1, Pages 40-43 (March 2018) Intraoperative bladder perforation during primary total hip arthroplasty Andrew Konopitski, BS, MS, Anthony Boniello, MD, Patrick Wang, MD, Mitesh Shah, MD, Andrew Old, MD, Kevin Gingrich, MD Arthroplasty Today Volume 4, Issue 1, Pages 40-43 (March 2018) DOI: 10.1016/j.artd.2017.03.008 Copyright © 2017 The Authors Terms and Conditions

Figure 1 Anteroposterior (AP) pelvic x-ray (left) and AP left hip x-ray (right) of a 67-year-old female with left sided hip osteoarthritis. Arthroplasty Today 2018 4, 40-43DOI: (10.1016/j.artd.2017.03.008) Copyright © 2017 The Authors Terms and Conditions

Figure 2 Preoperative CT scan revealing flattening of the quadrilateral space in the axial plane with minimal cortical bone between bladder and joint space. Arthroplasty Today 2018 4, 40-43DOI: (10.1016/j.artd.2017.03.008) Copyright © 2017 The Authors Terms and Conditions

Figure 3 Postoperative AP hip x-ray showing an ML taper system, size 7.5 femoral stem, size 60 cup with inner diameter of 36. A proximal tension cable can also be visualized. Arthroplasty Today 2018 4, 40-43DOI: (10.1016/j.artd.2017.03.008) Copyright © 2017 The Authors Terms and Conditions

Figure 4 Cystogram performed 2-week status-post left THA showing no evidence of extravasation. Of note, the acetabular component can be seen violating the pelvic cavity. Arthroplasty Today 2018 4, 40-43DOI: (10.1016/j.artd.2017.03.008) Copyright © 2017 The Authors Terms and Conditions

Figure 5 Preoperative CT scan revealing aberrant bladder anatomy with protrusion of the bladder anterior to the pubic symphysis. Arthroplasty Today 2018 4, 40-43DOI: (10.1016/j.artd.2017.03.008) Copyright © 2017 The Authors Terms and Conditions