Laohapoonrungsee Anupong, Sirirungruangsarn Yuddhasert, Arpornchayanon Olarn
Department of Orthopaedics, Faculty of Medicine, Chiang Mai University, Chiang Mai 50200, Thailand.
J Med Assoc Thai. 2005 Nov;88(11):1703-6.
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.
作者报告了两例股骨转子间髋部骨折内固定术后罕见但可预防的并发症,即股深动脉假性动脉瘤。本研究中的两例均表现为大腿近端肿块,其中一例怀疑为软组织肉瘤。通过血管造影研究确诊,并在血管造影期间成功闭塞了供血血管。建议正确放置牵开器,使用较短的钻头或钻头保护装置,精确的螺钉长度以及较短的侧板动力髋螺钉(DHS)以预防此问题。