case_images: PMC4845414_01
case_images: Pre-operative anteroposterior radiograph showing left hip joint with two cancellous screws from previous surgical treatment of fractured neck of femur
case_images: JOCR-6-55-g001.jpg
case_images: PMC4845414_01_JOCR-6-55-g001.jpg
case_images: F1
case_images: 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).
case_images: Post-operative anteroposterior radiograph showing the cemented total hip prosthesis with no obvious cement leakage into surrounding tissues
case_images: JOCR-6-55-g002.jpg
case_images: PMC4845414_01_JOCR-6-55-g002.jpg
case_images: F2
case_images: A cemented total hip arthroplasty was performed through the Southern Moors (posterior) approach (Fig. 2).
case_images: CT Angiogram showing complete occlusion of left common femoral artery
case_images: JOCR-6-55-g003.jpg
case_images: PMC4845414_01_JOCR-6-55-g003.jpg
case_images: F3
case_images: A C T angiogram revealed complete occlusion of the left common femoral artery (Fig. 3).
case_images: Thrombus in exposed femoral artery
case_images: JOCR-6-55-g004.jpg
case_images: PMC4845414_01_JOCR-6-55-g004.jpg
case_images: F4
case_images: With an urgent opinion from cardiothoracic and vascular surgery, the left femoral artery was exposed and a thrombus was noticed (Fig. 4).
case_images: Angioplasty of the left femoral artery carried out using Fogarty' catheter
case_images: JOCR-6-55-g005.jpg
case_images: PMC4845414_01_JOCR-6-55-g005.jpg
case_images: F5
case_images: Angioplasty was carried out using Forgarty's catheter and the vessel was recanalized (Fig. 5).
case_images: Angioplasty of the left femoral artery carried out using Fogarty's catheter
case_images: JOCR-6-55-g006.jpg
case_images: PMC4845414_01_JOCR-6-55-g006.jpg
case_images: F6
case_images: 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).
case_images: Postoperative Doppler scan showing good flow of blood through the left femoral artery
case_images: JOCR-6-55-g008.jpg
case_images: PMC4845414_01_JOCR-6-55-g008.jpg
case_images: F8
case_images: A post-operative Doppler scan showed good flow of blood within the affected vessel (Fig. 8).