Hip Pelvis.  2013 Dec;25(4):301-305. 10.5371/hp.2013.25.4.301.

Venous Thromboembolism and Superficial Femoral Artery Obstruction after Femur Intertrochanteric Fracture: A Case Report

  • 1Department of Orthopaedic Surgery, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Changwon, Korea. heavystone75@gmail.com
  • 2Department of Orthopaedic Surgery, Kangwon National University School of Medicine, Chuncheon, Korea.


As the elderly population increases, occurrence of hip fractures has shown a rapid increase, and posttraumatic and postoperative venous thromboembolism can lead to fatal complications. Current prophylactic management includes mechanical and chemical prophylaxis. A 76-year-oldfemale, who was lost to follow-up after diagnosis of pulmonary thromboembolism four years ago, was admitted to our emergency room for a right intertrochanteric fracture. Before the operation, the thromboembolism recurred and was treated with anticoagulation medication. Bipolar hemiarthroplasty and fixation of the greater trochanter with a hook plate were performed 18 days after the trauma. Superficial femoral artery obstruction and venous thromboembolism occurred on the first day after the operation.


Femur intertrochanteric fracture; Venous thromboembolism; Superficial femoral artery obstruction

MeSH Terms

Femoral Artery*
Hip Fractures
Lost to Follow-Up
Pulmonary Embolism
Venous Thromboembolism*


  • Fig. 1 (A) Pelvis A-P view x-ray shows AO type A3 reverse obliquity femur intertrochanteric fracture. (B) Hip axial view x-ray shows AO type A3 reverse obliquity femur intertrochanteric fracture.

  • Fig. 2 Two phase contrast chest enhance CT view shows thromboembolism in Rt. pumonary artery & both inter lobar pulmonary artery.

  • Fig. 3 Postoperative radiograph shows bipolar hemiarthroplasty was done with hook plate and wiring.

  • Fig. 4 Post operation CT angiography shows complete occlusion of right superficial femoral artery at the proximal segment with poor distal runoffs.


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