1/8. Pseudoaneurysm of the superficial femoral artery after closed hip nailing with a Gamma nail: report of a case.Pseudoaneurysm of the femoral artery after internal fixation of a trochanteric fracture is caused primarily by overpenetration of the drill bit or screws. We report a case of pseudoaneurysm of the superficial femoral artery after insertion of a Gamma nail. A probable cause for this injury is adduction and internal rotation of the involved limb. During the distal interlocking procedure, this maneuver endangers the superficial femoral artery by abutment of the femoral vessels to the femur. It is recommended that the limb be placed in a neutral position during preparation of the interlocking hole.- - - - - - - - - - ranking = 1keywords = vessel (Clic here for more details about this article) |
2/8. Late vascular injury following intertrochanteric fracture reduction with sliding hip screw.A case involving late injuries to pelvic vessels caused by a sliding hip screw penetrating through the acetabulum has not been previously reported. We present the case of an 88-year-old man who presented with a retroperitoneal and extraperitoneal hematoma 4 months after open reduction and internal fixation of an intertrochanteric hip fracture. Surgical exploration showed a laceration of the left external iliac artery, which was repaired. However, the sliding hip screw was left in place. The patient's condition deteriorated, and he expired 2 days later. Postmortem examination revealed a laceration of the left internal iliac vein. Our calculations show that the compression screw utilized in the fixation may not have been properly engaged into the sliding screw.- - - - - - - - - - ranking = 1keywords = vessel (Clic here for more details about this article) |
3/8. Laceration of femoral vessels by an avulsion fracture fragment of the lesser trochanter after bipolar hemiarthroplasty.Femoral vessel injuries after bipolar hemiarthroplasty have not been reported. The current report describes a case of a dual major vessel (superficial femoral artery and vein) injury associated with an avulsion fracture fragment of the lesser trochanter in a 76-year-old woman who had been treated with bipolar hemiarthroplasty because of a femoral neck fracture. The superficial femoral artery was repaired and the defect of the superficial femoral vein was reconstructed with a Gore-Tex graft (WL Gore and Associates Inc, Flagstaff, Ariz). The clinical result was satisfactory and there was no vascular problem at 1-year follow-up. early diagnosis of this vascular injury prevents serious complications including gangrene of the injured limb.- - - - - - - - - - ranking = 6keywords = vessel (Clic here for more details about this article) |
4/8. Pseudoaneurysm of profunda femoris artery following internal fixation of intertrochanteric fracture: two cases report.The authors report two cases of an uncommon but preventable complication after fixation of intertrochanteric hip fracture, the pseudoaneurysm of the profunda femoris artery. Both cases in the present study presented as proximal thigh mass, and soft tissue sarcoma was suspicious in one case. The diagnosis was confirmed by angiographic study and the feeding vessels were successfully occluded during angiography. Proper placement of the retractors, using a shorter drill or drill guard, accurate screw length and a shorter side-plate DHS were recommended to prevent this problem.- - - - - - - - - - ranking = 1keywords = vessel (Clic here for more details about this article) |
5/8. Iatrogenic blunt arterial injury during a hip fracture surgery.Iatrogenic non-penetrating arterial injuries have been reported following primary and revision hip arthroplasties. We report a patient who developed acute limb ischaemia after dynamic hip screw fixation was performed for an unstable intertrochanteric fracture. We discuss a previously unreported mechanism of traction creating tension on the atherosclerosed vessels and medial retraction tenting and breaking the vessel wall lining. This case highlights a serious complication in one of the most commonly performed hip surgeries.- - - - - - - - - - ranking = 2keywords = vessel (Clic here for more details about this article) |
6/8. False aneurysm of the femoral artery as a late complication of an intertrochanteric fracture. A case report.False aneurysms of the femoral vessels are an important, but rare, complication after an intertrochanteric fracture of the femur. The diagnosis is usually delayed, because pain, a haematoma and unexplained anaemia are the nonspecific clinical signs. early diagnosis by duplex and colour Doppler ultrasound is a good alternative to arteriography or magnetic resonance imaging.- - - - - - - - - - ranking = 1keywords = vessel (Clic here for more details about this article) |
7/8. ischemia of the lower extremity after total hip replacement.Following total hip replacement, three patients had early and one had late ischemia of the ipsilateral extremity. Three required vascular surgery and one, a lumbar sympathectomy for relief of pain at rest. In each instance there had been multiple previous procedures on the same hip resulting in extensive scarring, shortening, flexion contracture, or fusion. The ischemia after total hip replacement was probably the result of interruption of critical collateral circulation about the hip or of traction on the femoral vessels tethered by scar when the short limb was lengthened or when the hip contracture was corrected. Evaluation by Doppler pressures and arteriography was helpful. Careful preoperative evaluation, early recognition of signs of ischemia, and prompt institution of appropriate management are essential to prevent this complication and to treat it adequately once it occurs.- - - - - - - - - - ranking = 1keywords = vessel (Clic here for more details about this article) |
8/8. Fracture callus in osteopetrosis.The histologic features of bone callus after a traumatic fracture in a patient with osteopetrosis are presented. The fracture callus develops in stages that are apparently normal. The tissue is initially rich in bone-forming cells and vessels. One year later, however, unlike mature osteopetrotic bone, the tissue shows no Haversian organization.- - - - - - - - - - ranking = 1keywords = vessel (Clic here for more details about this article) |