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A 65-year-old woman developed recurrent hip infection and instability and later suffered fatal bleeding following a procedure related to prior Girdlestone resection. Computed tomography identified active SGA extravasation, leading to emergent embolization by interventional radiology. The report stresses vigilance for rare vascular injuries and timely diagnosis, rapid intervention, and coordinated team communication.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/superior-gluteal-artery-perforation-following-girdlestone-resection-arthroplasty-a-case-report/447396/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/superior-gluteal-artery-perforation-following-girdlestone-resection-arthroplasty-a-case-report/447396.png","ImageObject",300,407,{"name":92,"@type":93},"mieayamfan","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-07","2026-09-29",true,{"@type":102,"interactionType":103,"userInteractionCount":24},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What rare complication does the report emphasize after a Girdlestone procedure?","Question",{"text":112,"@type":113},"The report emphasizes recognition of a rare vascular complication: postoperative hemorrhage from the superior gluteal artery (SGA). It highlights the need for timely diagnosis and rapid intervention to improve outcomes.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How was the bleeding source identified and treated in the case?",{"text":117,"@type":113},"Computed tomography revealed active SGA extravasation. Emergent embolization was performed by interventional radiology to control the hemorrhage.",{"name":119,"@type":110,"acceptedAnswer":120},"Why does the report stress postoperative monitoring and care-team communication?",{"text":121,"@type":113},"Because vascular injuries after hip procedures can be severe and preventable, especially in high-risk patients. Prompt recognition, rapid treatment, and coordinated communication are presented as essential for favorable outcomes.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},447396,1790791557,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":24,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":29,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":144,"preview_page_count":4},962090893677,"https://ap-avatar.wpscdn.com/davatar_3d24733baf745e90a7e4bdd5f77d97b2","Case Report  Journal of Orthopaedic Case Reports 2025 December:15( 12) :Page 258-263   \nSuperior Gluteal Artery Perforation Following Girdlestone Resection  \nArthroplasty: A Case Report  \nDaanish Sheikh1, Zachary Jodoin1, Michael Rainey1, Abigail Wheeler1, Frank Buttacavoli1  \nLearning Point of the Article:  \nThe key learning point of this report is the recognition ofa rare vascular complication after a Girdlestone procedure and the critical importance of timely diagnosis, rapid intervention, and coordinated team communication in achieving favorable patient outcomes.  \nAbstract  \nIntroduction: Girdlestone excision arthroplasty is a surgical procedure for managing severe hip joint pathology, involving the removal of the femoral head and neck. Despite its utility, the Girdlestone procedure carries significant risks, including vascular complications. This report highlightsa previously unreported complication: Post-operative hemorrhage fromthe superior gluteal artery (SGA).  \nCase Report: A 65-year-old female underwent this procedure after recurrent infections and instability following hip hemiarthroplasty. The patient who underwent a Girdlestone procedure experienced life-threatening hemorrhage likely due to excessive external rotation and femoral shortening during post-operative transfer. A computed tomography scan revealed active SGA extravasation, necessitating emergent embolization by interventionalradiology.  \nConclusion: There are currently no reported cases of this event occurring in the literature. This case underscores the need for vigilance in postoperative monitoring for vascular complications, particularly in high-risk patients. This report emphasizes the importance of recognizing and promptly addressing vascular injuries, as well as prioritizing care-team communications, to improvepatient outcomes.  \nKeywords: Orthopedics, Girdlestone, prostheticjoint infection, hipfracture, arthroplasty, superior gluteal artery.  \nIntroduction  \nGirdlestone excision arthroplasty i s a surgical procedure performed primarily for the management of severe hip joint pathology. This technique involves the removal of the femoral head and neck, resulting in a flail hip. The procedure is indicated for severe infections of the hip joint, especially when management does not respond to conservative treatment or revision surgeries. Sharma et al. [1] elaborated on its utility in managing recurrent dislocations and severe osteoarthritis, particularly in patients who are poor candidates for more  \ncomplex reconstructive procedures. Furthermore, Condell et al.  \n[2] highlight Girdlestone’s role in situations where patients have significant bone loss or poor bone stock that precludes successful reconstruction.  \nGirdlestone excision arthroplasty is associated with several potential complications including leg length discrepancy, prolonged use of mobility aids, persistent pain, and the potential for recurrent infections. Vascular complications, although rare, canbe severe, as illustrated by Pasquinelly and Andrews,[3] who reported a case of profunda femoris pseudoaneurysm leading to  \n\n| \u003Cbr>Access this article online\u003Cbr>\u003Cbr>Website: [www.jocr.co.in](www.jocr.co.in)\u003Cbr>\u003Cbr>DOI:\u003Cbr>[https://doi.org/10.13107/jocr.2025.v15.i12.6528](https://doi.org/10.13107/jocr.2025.v15.i12.6528) | Author’s Photo Gallery |  |  |  |  |\n| --- | --- | --- | --- | --- | --- |\n|  | | | | | |\n|  | \u003Cbr>1Department of Orthopaedics, UT Health San Antonio, San Antonio, Texas.\u003Cbr>Address of Correspondence:\u003Cbr>Dr. Daanish Sheikh,\u003Cbr>Department of Orthopaedics, UT Health San Antonio, San Antonio, Texas. E-mail: [sheikhd1@livemail.uthscsa.edu](sheikhd1@livemail.uthscsa.edu) |  |  |  |  |\n| Submitted: 19/09/2025; Review: 14/10/2025; Accepted: November 2025; Published: December 2025 |  |  |  |  |  |\n| DOI: [https://doi.org/10.13107/jocr.2025.v15.i12.6528](https://doi.org/10.13107/jocr.2025.v15.i12.6528)\u003Cbr>© The Author(s). 2025 Open Access. This article is distributed under the terms o","cbCaisLTzYFqGosi","https://ap.wps.com/l/cbCaisLTzYFqGosi","pdf",8103321,"English","# Abstract\n# Introduction\n# Case Report\n## Emergency presentation\n# Conclusion","[{\"question\":\"What rare complication does the report emphasize after a Girdlestone procedure?\",\"answer\":\"The report emphasizes recognition of a rare vascular complication: postoperative hemorrhage from the superior gluteal artery (SGA). It highlights the need for timely diagnosis and rapid intervention to improve outcomes.\"},{\"question\":\"How was the bleeding source identified and treated in the case?\",\"answer\":\"Computed tomography revealed active SGA extravasation. Emergent embolization was performed by interventional radiology to control the hemorrhage.\"},{\"question\":\"Why does the report stress postoperative monitoring and care-team communication?\",\"answer\":\"Because vascular injuries after hip procedures can be severe and preventable, especially in high-risk patients. Prompt recognition, rapid treatment, and coordinated communication are presented as essential for favorable outcomes.\"}]","Superior Gluteal Artery Perforation Following Girdlestone Resection Arthroplasty - A Case Report | PDF",1790720122,15]