Acta Orthopaedica et Traumatologica Turcica

Pseudoaneurysm of the deep femoral artery caused by a guide wire following femur intertrochanteric fracture with a hip nail: A case report

AOTT 2017; 51: 266-269
DOI: 10.1016/j.aott.2017.03.011
Read: 1145 Downloads: 484 Published: 07 February 2020
Abstract


An 85-year-old woman developed severe swelling and pain in the proximal thigh after internal fixation of an intertrochanteric fracture of the femur with a hip nail. In order to identify the causes and determine the effective treatment, angiography was performed. The results of the angiography revealed a pseudoaneurysm of a branch of deep femoral artery. Endovascular embolization was used to treat the pseudoaneurysm. After reviewing all possible causes, we found a mistake in insertion of a guide wire for hip nail. Using intraoperative fluoroscopic images, we found the mal-positioned guide wire located posterior to trochanter on lateral view of hip. This case study reminds us that pseudoaneurysm can occur in a guide wire during hip nailing. Surgeons can avoid this complication with confirmation of lateral and anteroposterior view of hip.
ER -

 

Keywords

 

  • Hip
  • Guide wire
  • Hip nailing
  • Complication
  • Pseudoaneurysm

 

 

 

Files
ISSN 1017-995X EISSN 2589-1294