Acute Surgical Management of Vascular Injuries in Hip and Knee Arthroplasties

Christopher M. Melnic, MD; Marilyn Heng, MD, MPH, FRCSC; Santiago A. Lozano-Calderon, MD, PhD


J Am Acad Orthop Surg. 2020;28(21):874-883. 

In This Article

Definitive Treatment by Vascular Surgery

Historically, open surgical revascularization was done by vascular surgery for both hemorrhage and acute ischemia. The outcomes are excellent; however, limb and wound morbidity are significant. More recently, endovascular repair has been favored because they are less invasive. Troutman et al noted they have incorporated an "endovascular-first policy." They note the major impediments to endovascular treatment are the urgency of the intervention (hemorrhage vs ischemia) and availability of endovascular equipment.[10]