Tomčovčík L'uboš, Kováč Pavol, Daňo Jaroslav, Čuha Radoslav
Department of Trauma Surgery, Faculty Hospital of J. A. Reiman and Faculty of Health, Prešov University in Prešov - Slovakia.
Hip Int. 2011 Mar-Apr;21(2):273-5. doi: 10.5301/HIP.2011.6512. Epub 2011 Apr 5.
Injury to the femoral vessels is a rare complication after intertrochanteric fractures, and usually involves the profunda femoris artery. We report the case of a 79-year-old male with an intertrochanteric fracture, treated by closed antegrade intramedullary nailing, which was complicated by late injury to the superficial femoral artery 5 weeks after surgery. The injury was caused by a spike of bone from the anteriorly displaced lesser trochanter fragment. Direct suture of the injured artery was possible without subsequent complications.
股骨血管损伤是股骨转子间骨折后一种罕见的并发症，通常累及股深动脉。我们报告一例79岁男性股骨转子间骨折患者，采用闭合顺行髓内钉固定治疗，术后5周出现股浅动脉迟发性损伤。损伤由向前移位的小转子骨折块的骨尖所致。对损伤动脉进行直接缝合，未出现后续并发症。
