Labronici Pedro José, Santos Filho Fernando Claudino Dos, Diamantino Yuri Leander Oliveira, Loureiro Eduardo, Ezequiel Maria Cristina Diniz Gonçalves, Alves Sérgio Delmonte
Serviço de Ortopedia e Traumatologia, Hospital Santa Teresa, Petrópolis, RJ, Brasil.
Universidade Federal Fluminense, Niterói, RJ, Brasil.
Rev Bras Ortop (Sao Paulo). 2019 May;54(3):343-346. doi: 10.1016/j.rbo.2017.09.003. Epub 2019 Jun 27.
Vascular complications in the surgical treatment of hip fractures are rare. Depending on the arterial injury, severe intraoperative bleeding or a subacute hematoma formation with arterial pseudoaneurysm development can occur. In the literature, the more frequently described complications are large local hematomas after osteosynthesis with sliding hip screws. This report shows a case of delayed arterial injury after proximal femur osteosynthesis.
髋部骨折手术治疗中的血管并发症较为罕见。根据动脉损伤情况,可能会发生严重的术中出血或形成伴有动脉假性动脉瘤的亚急性血肿。在文献中,更常描述的并发症是使用滑动髋螺钉进行骨合成后出现的巨大局部血肿。本报告展示了一例股骨近端骨合成术后延迟性动脉损伤的病例。