Arterial Injury to the Profunda Femoris Artery following Internal Fixation of a Neck of Femur Fracture with a Compression Hip Screw
We report the case of an 82-year-old woman who developed extensive proximal thigh swelling and persistent anaemia following internal fixation of an extracapsular neck of femur fracture with a dynamic hip screw (DHS). This was revealed to be a pseudoaneurysm of a branch of profunda femoris artery on...
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2013/181293 |
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| _version_ | 1832560376090198016 |
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| author | Simon Craxford Michael Gale Kimberly Lammin |
| author_facet | Simon Craxford Michael Gale Kimberly Lammin |
| author_sort | Simon Craxford |
| collection | DOAJ |
| description | We report the case of an 82-year-old woman who developed extensive proximal thigh swelling and persistent anaemia following internal fixation of an extracapsular neck of femur fracture with a dynamic hip screw (DHS). This was revealed to be a pseudoaneurysm of a branch of profunda femoris artery on angiography. Her case was further complicated by a concurrent pulmonary embolism (PE). She underwent endovascular coil embolisation of the pseudoaneurysm. An IVC filter was inserted and the patient was fully anticoagulated once it had been ensured that there was no active bleeding. In this case, we review the potential for anatomical variations in the blood supply to this region and discuss treatment options for a complicated patient. We recommend that a pseudoaneurysm should be part of a differential diagnosis for postoperative patients with anaemia refractory to blood transfusion so as not to miss this rare but potentially serious complication. |
| format | Article |
| id | doaj-art-48e24955d9424c879dfe2b883602e3db |
| institution | Kabale University |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-48e24955d9424c879dfe2b883602e3db2025-02-03T01:27:37ZengWileyCase Reports in Orthopedics2090-67492090-67572013-01-01201310.1155/2013/181293181293Arterial Injury to the Profunda Femoris Artery following Internal Fixation of a Neck of Femur Fracture with a Compression Hip ScrewSimon Craxford0Michael Gale1Kimberly Lammin2Department of Orthopaedics, Royal Derby Hospital, Uttoxeter Road, Derby DE22 3NE, UKDepartment of Orthopaedics, Royal Derby Hospital, Uttoxeter Road, Derby DE22 3NE, UKDepartment of Orthopaedics, Royal Derby Hospital, Uttoxeter Road, Derby DE22 3NE, UKWe report the case of an 82-year-old woman who developed extensive proximal thigh swelling and persistent anaemia following internal fixation of an extracapsular neck of femur fracture with a dynamic hip screw (DHS). This was revealed to be a pseudoaneurysm of a branch of profunda femoris artery on angiography. Her case was further complicated by a concurrent pulmonary embolism (PE). She underwent endovascular coil embolisation of the pseudoaneurysm. An IVC filter was inserted and the patient was fully anticoagulated once it had been ensured that there was no active bleeding. In this case, we review the potential for anatomical variations in the blood supply to this region and discuss treatment options for a complicated patient. We recommend that a pseudoaneurysm should be part of a differential diagnosis for postoperative patients with anaemia refractory to blood transfusion so as not to miss this rare but potentially serious complication.http://dx.doi.org/10.1155/2013/181293 |
| spellingShingle | Simon Craxford Michael Gale Kimberly Lammin Arterial Injury to the Profunda Femoris Artery following Internal Fixation of a Neck of Femur Fracture with a Compression Hip Screw Case Reports in Orthopedics |
| title | Arterial Injury to the Profunda Femoris Artery following Internal Fixation of a Neck of Femur Fracture with a Compression Hip Screw |
| title_full | Arterial Injury to the Profunda Femoris Artery following Internal Fixation of a Neck of Femur Fracture with a Compression Hip Screw |
| title_fullStr | Arterial Injury to the Profunda Femoris Artery following Internal Fixation of a Neck of Femur Fracture with a Compression Hip Screw |
| title_full_unstemmed | Arterial Injury to the Profunda Femoris Artery following Internal Fixation of a Neck of Femur Fracture with a Compression Hip Screw |
| title_short | Arterial Injury to the Profunda Femoris Artery following Internal Fixation of a Neck of Femur Fracture with a Compression Hip Screw |
| title_sort | arterial injury to the profunda femoris artery following internal fixation of a neck of femur fracture with a compression hip screw |
| url | http://dx.doi.org/10.1155/2013/181293 |
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