Won Yougun, Yang Kyu-Hyun, Kim Kwang-Kyoun, Weaver M J, Allen Elizabeth M
Department of Orthopaedic Surgery, Yonsei University Graduate School of Medicine, Seoul, South Korea.
Department of Orthopaedic Surgery, College of Medicine, Konyang University, Daejeon, South Korea.
Arch Orthop Trauma Surg. 2016 Dec;136(12):1691-1694. doi: 10.1007/s00402-016-2580-z. Epub 2016 Oct 5.
An entrapment of the femoral artery by cerclage wiring is a rare complication after spiral diaphyseal femoral fractures. We report the case of an 82-year-old female treated by an antegrade intramedullary nailing and multiple cable augmentation, which was then complicated by injury to the femoral artery that resulted in ipsilateral leg necrosis and amputation. The entrapment was caused by direct belting by the cable and resulted in a total obstruction of the femoral artery.
股骨骨干螺旋骨折后，环扎钢丝压迫股动脉是一种罕见的并发症。我们报告了一例82岁女性患者，接受了顺行髓内钉固定和多根缆线增强术治疗，随后出现股动脉损伤，导致同侧腿部坏死并截肢。压迫是由缆线直接束紧引起的，导致股动脉完全阻塞。
