PMC4845414_01
Pre-operative anteroposterior radiograph showing left hip joint with two cancellous screws from previous surgical treatment of fractured neck of femur
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F1
A 56 year old Indian male patient was admitted for post-traumatic avascular necrosis of the head of the femur leading to degenerative arthritis of his left hip joint (Fig. 1).
Post-operative anteroposterior radiograph showing the cemented total hip prosthesis with no obvious cement leakage into surrounding tissues
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F2
A cemented total hip arthroplasty was performed through the Southern Moors (posterior) approach (Fig. 2).
CT Angiogram showing complete occlusion of left common femoral artery
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F3
A C T angiogram revealed complete occlusion of the left common femoral artery (Fig. 3).
Thrombus in exposed femoral artery
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F4
With an urgent opinion from cardiothoracic and vascular surgery, the left femoral artery was exposed and a thrombus was noticed (Fig. 4).
Angioplasty of the left femoral artery carried out using Fogarty' catheter
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F5
Angioplasty was carried out using Forgarty's catheter and the vessel was recanalized (Fig. 5).
Angioplasty of the left femoral artery carried out using Fogarty's catheter
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F6
After removal of the occluding thrombus measuring 2.5 cm in length and intimal plaque of one cm length confirmed by histopathological examination (Fig.6), the artery was closed using 6-0 prolene sutures (Fig. 7).
Postoperative Doppler scan showing good flow of blood through the left femoral artery
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F8
A post-operative Doppler scan showed good flow of blood within the affected vessel (Fig. 8).