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Case Report

J Korean Hip Soc 2007; 19(3): 197-203

Published online September 1, 2007

© The Korean Hip Society

고관절 전치환술 후 발생한 급성 동맥 혈전증의 Urokinase를 사용한 치료 -2례 보고-

김용식∙이승구∙정진화∙성병윤∙권순용

가톨릭대학교 의과대학 성모병원 정형외과

Treatment of Acute Arterial Thrombosis after Total Hip Replacement Arthroplasty Using Urokinase -A Report of Two Cases-

Yong-Sik Kim, M.D., Seung-Koo Rhee, M.D., Jin-Wha Chung, M.D., Byung-Yoon Sung, M.D., Soon-Yong Kwon, M.D.

Author Affiliations
Department of Orthopedic Surgery, St. Mary’s Hospital, College of Medicine, The Catholic University, Seoul, Korea

Correspondence to : 권순용
서울특별시 영등포구 여의도동 60 가톨릭대학교 의과대학 성모병원 정형외과
TEL: 82-2-3779-1192
FAX: 82-2-783-0252
E-mail: sykwon@catholic.ac.kr

Abstract

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Arterial thrombosis of the lower extremity following total hip replacement is a rare but serious complication that threatens the lower limb and sometimes the life of the patient.
We report two cases of an arterial occlusion after total hip arthroplasty. The cause of the occlusion is believed to be a thromboembolism in elderly patients due to underlying artherosclerosis. In the case of multifocal artherosclerosis, a vein graft is not feasible and an infusion of a thrombolytic drug is the optimal treatment. However, the result of this method varies.

Keywords Thrombosis, Total hip replacement arthroplasty, Urokinase

Article

Case Report

J Korean Hip Soc 2007; 19(3): 197-203

Published online September 1, 2007 https://doi.org/10.5371/jkhs.2007.19.3.197

Copyright © The Korean Hip Society.

고관절 전치환술 후 발생한 급성 동맥 혈전증의 Urokinase를 사용한 치료 -2례 보고-

김용식∙이승구∙정진화∙성병윤∙권순용

가톨릭대학교 의과대학 성모병원 정형외과

Treatment of Acute Arterial Thrombosis after Total Hip Replacement Arthroplasty Using Urokinase -A Report of Two Cases-

Yong-Sik Kim, M.D., Seung-Koo Rhee, M.D., Jin-Wha Chung, M.D., Byung-Yoon Sung, M.D., Soon-Yong Kwon, M.D.

Department of Orthopedic Surgery, St. Mary’s Hospital, College of Medicine, The Catholic University, Seoul, Korea

Correspondence to:권순용
서울특별시 영등포구 여의도동 60 가톨릭대학교 의과대학 성모병원 정형외과
TEL: 82-2-3779-1192
FAX: 82-2-783-0252
E-mail: sykwon@catholic.ac.kr

Abstract

Arterial thrombosis of the lower extremity following total hip replacement is a rare but serious complication that threatens the lower limb and sometimes the life of the patient.
We report two cases of an arterial occlusion after total hip arthroplasty. The cause of the occlusion is believed to be a thromboembolism in elderly patients due to underlying artherosclerosis. In the case of multifocal artherosclerosis, a vein graft is not feasible and an infusion of a thrombolytic drug is the optimal treatment. However, the result of this method varies.

Keywords: Thrombosis, Total hip replacement arthroplasty, Urokinase

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