Liu Bing, Wang Shengjie, Liu Zihao, Dong Guixian
Department of Traumatic Orthopedics, Hengshui City People's Hospital, Harrison International Peace Hospital, Hengshui, Hebei Province, China.
Medicine (Baltimore). 2025 Jul 18;104(29):e43497. doi: 10.1097/MD.0000000000043497.
In clinical practice, subtrochanteric femur fractures are common. However, fractures accompanied by profunda femoris artery injury are relatively rare.
In our study, we report a case of a 50-year-old male admitted with a primary diagnosis of a right subtrochanteric femur fracture with rupture of the profunda femoris artery. The patient was admitted following a fall from a height.
Upon admission, X-ray showed a right subtrochanteric femur fracture, but physical examination revealed abnormal blood flow in the right groin area. A color Doppler ultrasound confirmed a rupture of the right profunda femoris artery.
During preparation for emergency surgery, the patient's blood test results indicated severe anemia. We coordinated with the blood bank to provide a substantial blood supply to the patient, and successfully anastomosed the profunda femoris artery during surgery.
Once vascular stability was achieved, we proceeded with intramedullary nailing fixation for the right subtrochanteric femur fracture, resulting in good fracture healing.
This newly identified injury pattern, subtrochanteric femur fracture with profunda femoris artery rupture, has not been previously reported in the literature. Further research is needed to explore the mechanism of this injury pattern, and it should be given due attention in clinical practice.
在临床实践中，股骨转子下骨折很常见。然而，伴有股深动脉损伤的骨折相对少见。
在我们的研究中，我们报告了一例50岁男性患者，其初步诊断为右股骨转子下骨折伴股深动脉破裂。该患者因高处坠落入院。
入院时，X线显示右股骨转子下骨折，但体格检查发现右腹股沟区血流异常。彩色多普勒超声证实右股深动脉破裂。
在准备急诊手术期间，患者的血液检查结果显示严重贫血。我们与血库协调，为患者提供大量血液供应，并在手术中成功吻合股深动脉。
一旦实现血管稳定，我们对右股骨转子下骨折进行了髓内钉固定，骨折愈合良好。
这种新发现的损伤模式，即股骨转子下骨折伴股深动脉破裂，此前在文献中尚未有报道。需要进一步研究以探索这种损伤模式的机制，并且在临床实践中应给予应有的关注。
