Hip Pelvis.  2012 Dec;24(4):338-341. 10.5371/hp.2012.24.4.338.

Injury of the Superficial Femoral Artery Secondary to an Unstable Intertrochanteric Fracture: A Case Report

• Park WR
• Kang MS
• Kim KT
• Moon KP

• KMID: 1425052
• DOI: http://doi.org/10.5371/hp.2012.24.4.338

Abstract

Injury of the femoral artery with a femoral intertrochanteric fracture is rare, and usually occurs on the deep femoral artery during surgery. We experienced a case of preoperative injury of the superficial femoral artery by a lesser trochanteric fragment. We repaired the femoral artery through an anterior approach before internal fixation.

Keyword

Intertrochanteric fracture; Femoral artery injury

MeSH Terms

Femoral Artery
Femur

Figure

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  Fig. 1 (A) X-ray shows the position of the lesser trochanteric fragment and (B) CT angiography - 3D reconstruction shows the spike of the fragment is located at bifurcation of superficial and deep femoral artery.

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  Fig. 2 A photograph of repaired femoral artery, the arrow indicates the site of laceration.

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  Fig. 3 (A) Intraoperative fluoroscopic image shows the lesser trochanteric fragment after fixation with cable device and (B) X-ray shows displaced lesser trochanteric fragment at 2 weeks after the operation. The spike of fragment doesn't point anteriorly.

Reference

1. Abraham E, Pankovich AM, Jansey F. False aneurysm of the profunda femoris artery resulting from intertrochanteric fracture. A case report. J Bone Joint Surg Am. 1975. 57:871.

2. Park SJ, Yang KH. Pseudoaneurysm of the superficial femoral artery following gamma nail fixation for trochanteric fracture: A case report. J Korean Orthop Assoc. 2000. 35:695–697.

3. Wolfgang GL, Barnes WT, Hendricks GL Jr. False aneurysm of the profunda femoris artery resulting from nail-plate fixation of intertrochanteric fracture. A case report and review of the literature. Clin Orthop Relat Res. 1974. (100):143–150.

4. Keel JD, Eyres KS. Vacsular injury by an intertrochanteric fracture fragment. Injury. 1993. 24:350–352.

5. Søballe K, Christensen F. Laceration of the superficial femoral artery by an intertrochanteric fracture fragment. A case report. J Bone Joint Surg Am. 1987. 69:781–783.

6. Tomcovčík L, Kovác P, Dano J, Cuha R. Late laceration of the superficial femoral artery by an intertrochanteric fracture fragment. Hip Int. 2011. 21:273–275.