J Korean Fract Soc.  2021 Apr;34(2):71-75. 10.12671/jkfs.2021.34.2.71.

Injury of the Ascending Branch of the Lateral Femoral Circumflex Artery Caused by a Spike of the Displaced Lesser Trochanter in an Intertrochanteric Femoral Fracture - A Case Report -

• Huh SH
• Cho HM
• Park J

• KMID: 2515147
• DOI: http://doi.org/10.12671/jkfs.2021.34.2.71

Abstract

Although vascular injuries associated with femoral intertrochanteric fractures have been reported infrequently, bleeding due to vascular injury can lead to severe complications that can be potentially life and limb-threatening. The authors report a case of an injury of the ascending branch of the lateral femoral convolutional artery in a patient who underwent surgical treatment for a femoral intertrochanteric fracture. Vascular injury occurred due to the sharp margin of displaced lesser trochanter five weeks after surgery. Percutaneous transcatheter embolization was done and improved without additional complications. Therefore, the surgeons need to be aware of possible associated vascular injuries caused by displaced lesser trochanter fragments in femoral intertrochanteric fractures.

Keyword

Hip fractures; Vascular injury; Femoral artery; Lesser trochanter