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Case Reports
. 2019 May-Jun;53(3):479-481.
doi: 10.4103/ortho.IJOrtho_139_18.

Proximal Femoral Erosion: A Sequelae of Psuedoaneursym Formation Following Operative Fixation of an Intertrochanteric Neck of Femur Fracture

Surjit S Lidder  1 , Daniel J Epstein  1 , Victoria Courtice  2 , Marc D George  3
Affiliations
Case Reports

Proximal Femoral Erosion: A Sequelae of Psuedoaneursym Formation Following Operative Fixation of an Intertrochanteric Neck of Femur Fracture

Surjit S Lidder et al. Indian J Orthop. 2019 May-Jun.

Abstract

A 72-year-old male sustained a left intertrochanteric neck of femur fracture following a fall. He underwent operative fixation with a dynamic hip screw and was discharged home. Fifteen months later, the patient presented again with ongoing left thigh pain and swelling. A pelvic radiograph showed scalloping of the medial proximal femoral cortex. Further investigation revealed a left profunda femoris artery pseudoaneurysm. Vascular injury during operative fixation of intratrochanteric fractures is a rare complication, which may be missed due to a delayed presentation. Treating physicians should be mindful of late presentations of vascular injury following the surgical fixation of proximal femoral fractures.

Keywords: Complication; neck of femur; operative fixation; pseudoaneurysm; vascular injury.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Postoperative anteroposterior pelvis radiograph showing a left dynamic hip screw in situ
Figure 2
Figure 2
Anteroposterior pelvis radiograph showing left dynamic hip screw in situ with medial scalloping of the femur, with screws penetrating beyond the medial cortex at 15-month followup
Figure 3
Figure 3
Left proximal femur with left dynamic hip screw in situ and digital subtraction angiography of the left common femoral artery demonstrating a profunda branch aneurysm (a) and following coil embolization (b)
See this image and copyright information in PMC

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