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股骨转子间髋部骨折内固定术后异位骨化致股动脉假性动脉瘤:一例报告

Femoral Artery Pseudoaneurysm from Heterotopic Ossification after Fixation of Intertrochanteric Hip Fracture: A Case Report.

作者信息

Harvey Lucas S, Langdon Sarah, Lao Donald J, Jim Jeffrey, Lund Erik A, Busel Gennadiy A

机构信息

Department of Orthopaedic Surgery, Allina Health, Minneapolis, Minnesota.

NorthStar Trauma Network, Saint Paul, Minnesota.

出版信息

J Orthop Case Rep. 2024 Oct;14(10):67-72. doi: 10.13107/jocr.2024.v14.i10.4814.

Abstract

INTRODUCTION

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.

CASE REPORT

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.

CONCLUSION

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.

摘要

引言

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。

病例报告

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。

结论

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0deb/11458229/3b98aefb362b/JOCR-14-67-g001.jpg

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