Kadzielski John, Vrahas Mark
Massachusetts General Hospital, Boston, MA 02114, USA.
Am J Orthop (Belle Mead NJ). 2010 Jul;39(7):E64-6.
In this case report, we describe a complication of occlusion of a low-flow artery related to traction and compression against the center post of a fracture table during trochanteric femoral nailing. The ischemic limb subsequently underwent urgent revascularization by the vascular surgery team. The patient was placed on anticoagulation and recovered. Radiographically visible vascular plaques should alert the surgeon to potential vascular complications of traction and center-post compression.
在本病例报告中，我们描述了一例在股骨转子间钉固定手术期间，因骨折手术台的中央立柱对低流量动脉产生牵引和压迫而导致动脉闭塞的并发症。随后，缺血肢体由血管外科团队进行了紧急血管重建。患者接受了抗凝治疗并康复。影像学可见的血管斑块应提醒外科医生注意牵引和中央立柱压迫可能导致的血管并发症。
