A Review on Total Hip Replacement and Vascular Complications

Document Type : Narrative Review


1 Orthopaedic Department,Taleghani Hospital,Shahid Beheshti University of Medical Sciences, Tehran, Iran.

2 Trauma Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran.

3 Assistant Professor of Vascular Surgery, Department of Vascular and Endovascular Surgery, Rouhani Hospital, Babol University of Medical Sciences, Babol, Iran.

4 Assistant Professor of vascular surgery,Department of vascular and Endovascular Surgery,Aiatollah Taleghani Hospital,Shahid Beheshti University of Medical Sciences,tehran,Iran


Introduction: Total hip arthroplasty (THA) is a typical surgical procedure with uncommon and preventable complications. However, most adverse events following THA are unusual and preventable or easily treated as expected. This study examined the two common complications of the THA procedure namely: orthopedic and vascular complications and their management.
Methods: The primary search began with reviewing   citations from PubMed, and Scopus, between 1991 and 2020 using the keywords: (Hip arthroplasty) or (Arthroplasty AND Hip AND vascular Complications).
Results: Overall, 117 articles were extracted with the initial search. Then 67 studies were selected and used in the present study according to inclusion criteria. The studies reputed thromboembolic disease as vascular complications. The management of vascular complications includes preoperative management, preoperative clinical investigation, intraoperative, and postoperative management.
Conclusion: In general, vascular injuries are rare in hip replacement surgeries. Vascular injuries can appear early in surgery, in the mid-term as postoperative bleeding, and later as pseudo-aneurysms.