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European Journal of Orthopaedic Surgery & Traumatology

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01-12-2019 | Femoral Fracture | Up-to date Review and Case Report • HIP - FRACTURES

Secondary profunda femoris artery injury after intramedullary femoral nailing in a geriatric pertrochanteric femur fracture: case report

Authors: Amelie Kanovsky, Ernst Josef Mueller, Eva Miller

Published in: European Journal of Orthopaedic Surgery & Traumatology | Issue 8/2019

Abstract

We present a case of a secondary injury to the femoral artery in a geriatric male patient who sustained a pertrochanteric femoral fracture. Six days after closed fracture reduction and intramedullary femoral nailing, the patient presented with persistent hematocrit level drops, femoral swelling and pain. A computed tomography angiography of the femur revealed a perforation of the profunda femoris artery through the dislocated lesser trochanter fragment, and immediate surgical revision was induced. The patient returned to his pre-injury mobilization level without any peripheral vascular or neurological deficiencies. A literature review suggests that the occurrence of vascular damage in proximal femoral fractures is rare but mainly presents in geriatric patients due to atherosclerosis and brittle bone mass.

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Title: Secondary profunda femoris artery injury after intramedullary femoral nailing in a geriatric pertrochanteric femur fracture: case report
Authors: Amelie Kanovsky
Ernst Josef Mueller
Eva Miller
Publication date: 01-12-2019
Publisher: Springer Paris
Keyword: Femoral Fracture
Published in: European Journal of Orthopaedic Surgery & Traumatology / Issue 8/2019
Print ISSN: 1633-8065
Electronic ISSN: 1432-1068
DOI: https://doi.org/10.1007/s00590-019-02500-9

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Secondary profunda femoris artery injury after intramedullary femoral nailing in a geriatric pertrochanteric femur fracture: case report

Abstract

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Abstract

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