Jared S. Preston, MD, MBA, Steven Mennona, MD, Stephen Kayiaros, MD 

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Presentation transcript:

Phlegmasia cerulea dolens and external iliac vein disruption after revision total hip arthroplasty  Jared S. Preston, MD, MBA, Steven Mennona, MD, Stephen Kayiaros, MD  Arthroplasty Today  Volume 4, Issue 4, Pages 401-406 (December 2018) DOI: 10.1016/j.artd.2017.09.005 Copyright © 2017 The Authors Terms and Conditions

Fig. 1 Preoperative anteroposterior pelvis (a) and left hip (b) demonstrating diffuse periacetabular and peritrochanteric osteolysis bilaterally. Arthroplasty Today 2018 4, 401-406DOI: (10.1016/j.artd.2017.09.005) Copyright © 2017 The Authors Terms and Conditions

Fig. 2 Clinical pictures of cyanotic left foot (a) and left leg (b) immediately postoperative in the recovery room. Arthroplasty Today 2018 4, 401-406DOI: (10.1016/j.artd.2017.09.005) Copyright © 2017 The Authors Terms and Conditions

Fig. 3 Postoperative anteroposterior pelvis radiograph demonstrating ilium screw placement into pelvis. Arthroplasty Today 2018 4, 401-406DOI: (10.1016/j.artd.2017.09.005) Copyright © 2017 The Authors Terms and Conditions

Fig. 4 Intraoperative fluoroscopy of venogram and IVC filter placement. Note absence of contrast in the left common iliac vein (a) during filter placement (b). There is extravasation of contrast caudal to the acetabular cup (c-e) indicating the location of external iliac vein disruption. Arthroplasty Today 2018 4, 401-406DOI: (10.1016/j.artd.2017.09.005) Copyright © 2017 The Authors Terms and Conditions

Fig. 5 Intraoperative clinical picture demonstrating increasing cyanosis of left lower extremity during the venogram. Arthroplasty Today 2018 4, 401-406DOI: (10.1016/j.artd.2017.09.005) Copyright © 2017 The Authors Terms and Conditions

Fig. 6 Postoperative CT of pelvis demonstrating intrapelvic placement of iliac screws on axial (a) and coronal slices (b). Arthroplasty Today 2018 4, 401-406DOI: (10.1016/j.artd.2017.09.005) Copyright © 2017 The Authors Terms and Conditions