Mayurasakorn Chatchanin, Phiphobmongkol Vajara, Sridermma Wasupong, Bavonratanavech Suthorn
Bangkok Orthopaedic Center, Bangkok Hospital, Thailand.
Surgery Clinic, Bangkok Hospital, Thailand.
Trauma Case Rep. 2017 Dec 14;13:14-17. doi: 10.1016/j.tcr.2017.10.006. eCollection 2018 Feb.
Vascular injuries following intertrochanteric fracture have been sporadically reported. Despite its rare occurrence, this complication can be potentially life and limb threatening. The authors report an unusual presentation of false aneurysm of profunda femoris artery following an intertrochanteric fracture with marked displacement of lesser trochanter fragment. The patient presented with thigh swelling and unexplainable dropped hematocrit. Surgical exploration and vascular repair were done. It is essential for the surgeon to be aware of possible associated vascular injuries in intertrochanteric fracture, particularly in fracture with lesser trochanter fragment.
转子间骨折后血管损伤已有零星报道。尽管这种并发症罕见，但可能危及生命和肢体。作者报告了一例转子间骨折后股深动脉假性动脉瘤的不寻常表现，小转子骨折块有明显移位。患者表现为大腿肿胀和无法解释的血细胞比容下降。进行了手术探查和血管修复。外科医生必须意识到转子间骨折，尤其是伴有小转子骨折块的骨折可能伴发的血管损伤。
