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Case Reports
. 2023 Jan 17;15(1):e33894.
doi: 10.7759/cureus.33894. eCollection 2023 Jan.

Iatrogenic Injury to Profunda Femoris During a Dynamic Hip Screw Fixation for Intertrochanteric Fracture

Anuj Lal  1 , Edwin Jesudason  1 , Rhodri Gwyn  2
Affiliations
Case Reports

Iatrogenic Injury to Profunda Femoris During a Dynamic Hip Screw Fixation for Intertrochanteric Fracture

Anuj Lal et al. Cureus. .

Abstract

We present a case of a profunda femoris artery injury during a dynamic hip screw fixation for an intertrochanteric fracture. This was identified clinically on the ward and confirmed with a CT angiogram. The bleeder was then treated by coil embolization, and laboratory results showed significant improvement in hemoglobin level after blood transfusion.

Keywords: dynamic hip screw (dhs); iatrogenic complication; intertrochanteric hip fracture; lower extremity vascular injury; profunda femoris.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. Intraoperative final X-ray of dynamic hip screw fixation.
Figure 2
Figure 2. Active bleeding from one of the branches of the profunda femoris artery on CT angiogram of the left lower limb.
Figure 3
Figure 3. Post-embolisation images on CT angiogram.
See this image and copyright information in PMC

References

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