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Kim, Ahn, Kim, Kang, and Han: Venous Thromboembolism and Superficial Femoral Artery Obstruction after Femur Intertrochanteric Fracture - A Case Report -
Case Report

Hip & Pelvis 2013; 25(4): 301-305.

Published online: 31 December 2013

DOI: https://doi.org/10.5371/hp.2013.25.4.301

Venous Thromboembolism and Superficial Femoral Artery Obstruction after Femur Intertrochanteric Fracture - A Case Report -

Chong-Kwan Kim, MD, Byung-Woo Ahn, MD, Sang-Min Kim, MD, Seung-Hoon Kang, MD, Kye-Young Han, MD*

Department of Orthopaedic Surgery, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Changwon, Korea.

*Department of Orthopaedic Surgery, Kangwon National University School of Medicine, Chuncheon, Korea.

Address reprint request to Sang-Min Kim, MD. Department of Orthopaedic Surgery, Samsung Changwon Hospital, 158 Paryong-ro, Masanhoewon-gu, Changwon 630-723, Korea. TEL: +82-55-290-6030, FAX: +82-55-290-6888, heavystone75@gmail.com

Received 20 July 2013       Revised 9 December 2013       Accepted 11 December 2013

Copyright © 2013 by Korean Hip Society

(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

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.

Keywords: Femur intertrochanteric fracture, Venous thromboembolism, Superficial femoral artery obstruction

Figures and Tables

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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