Injury of the Superficial Femoral Artery Secondary to an Unstable Intertrochanteric Fracture - A Case Report -

Won Ro Park; Min Soo Kang; Kyung Taek Kim; Kyu Pill Moon

doi:10.5371/hp.2012.24.4.338

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Park, Kang, Kim, and Moon: Injury of the Superficial Femoral Artery Secondary to an Unstable Intertrochanteric Fracture - A Case Report -

Case Report

Hip & Pelvis

Hip & Pelvis 2012; 24(4): 338-341.

Published online: 31 December 2012

DOI: https://doi.org/10.5371/hp.2012.24.4.338

Injury of the Superficial Femoral Artery Secondary to an Unstable Intertrochanteric Fracture - A Case Report -

Won Ro Park, MD, Min Soo Kang, MD, Kyung Taek Kim, MD, Kyu Pill Moon, MD

Department of Orthopaedic Surgery, Dong-Eui Medical Center, Busan, Korea.

Address reprint request to Won Ro Park, MD. Department of Orthopaedic Surgery, Dong-Eui Medical Center, San 45-1 Yang-Jung 2-dong, Jin-gu, Busan 614-710, Korea. TEL: +82-51-850-8937, FAX: +82-51-850-8943, wonro@hanmail.net

Received 30 May 2012 Revised 8 November 2012 Accepted 13 November 2012

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Injury of the femoral artery with a femoral intertrochanteric fracture is rare, and usually occurs on the deep femoral artery during surgery. We experienced a case of preoperative injury of the superficial femoral artery by a lesser trochanteric fragment. We repaired the femoral artery through an anterior approach before internal fixation.

Keywords: Intertrochanteric fracture, Femoral artery injury

Figures and Tables

Fig. 1

(A) X-ray shows the position of the lesser trochanteric fragment and (B) CT angiography - 3D reconstruction shows the spike of the fragment is located at bifurcation of superficial and deep femoral artery.

Fig. 2

A photograph of repaired femoral artery, the arrow indicates the site of laceration.

Fig. 3

(A) Intraoperative fluoroscopic image shows the lesser trochanteric fragment after fixation with cable device and (B) X-ray shows displaced lesser trochanteric fragment at 2 weeks after the operation. The spike of fragment doesn't point anteriorly.

References

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2. Park SJ, Yang KH. Pseudoaneurysm of the superficial femoral artery following gamma nail fixation for trochanteric fracture: A case report. J Korean Orthop Assoc. 2000. 35:695–697.

3. Wolfgang GL, Barnes WT, Hendricks GL Jr. False aneurysm of the profunda femoris artery resulting from nail-plate fixation of intertrochanteric fracture. A case report and review of the literature. Clin Orthop Relat Res. 1974. (100):143–150.

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5. Søballe K, Christensen F. Laceration of the superficial femoral artery by an intertrochanteric fracture fragment. A case report. J Bone Joint Surg Am. 1987. 69:781–783.

6. Tomcovčík L, Kovác P, Dano J, Cuha R. Late laceration of the superficial femoral artery by an intertrochanteric fracture fragment. Hip Int. 2011. 21:273–275.

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