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. 2014:2014:694235.
doi: 10.1155/2014/694235. Epub 2014 Feb 5.

Iatrogenic injury of profunda femoris artery branches after intertrochanteric hip screw fixation for intertrochanteric femoral fracture: a case report and literature review

Nikolaos Patelis  1 , Andreas Koutsoumpelis  1 , Konstantinos Papoutsis  1 , George Kouvelos  1 , Chrysovalantis Vergadis  2 , Anastasios Mourikis  3 , Sotiris E Georgopoulos  1
Affiliations

Iatrogenic injury of profunda femoris artery branches after intertrochanteric hip screw fixation for intertrochanteric femoral fracture: a case report and literature review

Nikolaos Patelis et al. Case Rep Vasc Med. 2014.

Abstract

A case of arterial rupture of the profunda femoris arterial branches, following dynamic hip screw (DHS) fixation for an intertrochanteric femoral fracture, is presented. Bleeding is controlled by coil embolization, but, later on, the patient underwent orthopedic material removal due to an infection of a large femoral hematoma.

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Figures

Figure 1
Figure 1
Hemorrhage fed by two perforating arteries, located at the tips of the first and fourth screws.
Figure 2
Figure 2
Extravasation of the contrast agent in the deep intramuscular space of the thigh. Superficial femoral artery is visibly patent.
Figure 3
Figure 3
Successful coil embolisation of the two feeding arteries. No extravasation of the contrast agent is visible.
See this image and copyright information in PMC

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