Harvey Lucas S, Langdon Sarah, Lao Donald J, Jim Jeffrey, Lund Erik A, Busel Gennadiy A
Department of Orthopaedic Surgery, Allina Health, Minneapolis, Minnesota.
NorthStar Trauma Network, Saint Paul, Minnesota.
J Orthop Case Rep. 2024 Oct;14(10):67-72. doi: 10.13107/jocr.2024.v14.i10.4814.
Intertrochanteric (IT) hip fractures are increasing in prevalence due to a rise in the aging population. Cephalomedullary nailing is one of the treatment options and is becoming a treatment of choice worldwide. Complications after a hip fracture have been extensively studied and widely published. Despite numerous publications, we report a unique complication not previously seen in literature.
This case demonstrates the rare phenomenon of proximal femur heterotopic ossification (HO) after cephalomedullary nailing of an IT femur fracture causing a femoral artery pseudoaneurysm.
Proximal femoral HO is a rare phenomenon after cephalomedullary nailing that, in this case, presented a serious complication requiring combined surgical intervention from both vascular surgery and orthopedic surgery teams. As far as the authors know, this is the only such incident in the literature.
由于老年人口的增加,股骨转子间(IT)髋部骨折的患病率正在上升。髓内钉固定是治疗选择之一,并且正在成为全球范围内的首选治疗方法。髋部骨折后的并发症已得到广泛研究并大量发表。尽管有大量出版物,但我们报告了一种文献中以前未见的独特并发症。
本病例展示了IT股骨骨折髓内钉固定后股骨近端异位骨化(HO)这一罕见现象,导致股动脉假性动脉瘤。
股骨近端HO是髓内钉固定后罕见的现象,在本病例中,它呈现出一种严重的并发症,需要血管外科和骨科手术团队联合进行手术干预。据作者所知,这是文献中唯一的此类事件。