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

• Kim CK
• Ahn BW
• Kim SM
• Kang SH
• Han KY

• KMID: 1808140
• DOI: http://doi.org/10.5371/hp.2013.25.4.301

Abstract

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.

Keyword

Femur intertrochanteric fracture; Venous thromboembolism; Superficial femoral artery obstruction

MeSH Terms

Aged
Diagnosis
Emergencies
Femoral Artery*
Femur*
Hemiarthroplasty
Hip Fractures
Humans
Lost to Follow-Up
Pulmonary Embolism
Thromboembolism
Venous Thromboembolism*

Figure

• 

  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.

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

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

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  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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