股骨粗隆间骨折手术固定后发生股深动脉假性动脉瘤1例罕见病例。
A Rare Case of Pseudoaneurysm of Profunda Femoris Artery Following Surgical Fixation of an Intertrochanteric Fracture.
作者信息
Kulkarni Shrihari L, Daragad Manjunath, Ravikiran R, Manoj N
机构信息
Department of Orthopaedics, SDM College of Medical Sciences and Hospital, Shri Dharmasthala Manjunatheshwara University, Dharwad, Karnataka, India.
出版信息
J Orthop Case Rep. 2025 Sep;15(9):174-178. doi: 10.13107/jocr.2025.v15.i09.6058.
INTRODUCTION
Intertrochanteric fractures are one of the most common osteoporotic fractures in the elderly population. Most of them are managed with surgical fixation using proximal femoral nails. We report a patient with pseudoaneurysm of the profunda femoris artery following surgical fixation of an intertrochanteric fracture, which is a very rare complication.
CASE REPORT
An 80-year-old male patient presented 3 weeks post-surgical fixation for an intertrochanteric fracture with pain and swelling of the thigh. Radiological evaluation revealed a pseudoaneurysm of the profunda femoris artery, which was managed by the cardiothoracic and vascular surgery team.
CONCLUSION
Pseudoaneurysm of the profunda femoris artery, though rare, is a serious complication following surgical fixation of the proximal femur fracture. Considering its potential for delay in onset, it can often be overlooked or diagnosed late, leading to significant risks.
引言
粗隆间骨折是老年人群中最常见的骨质疏松性骨折之一。大多数此类骨折通过使用股骨近端髓内钉进行手术固定来治疗。我们报告了一例粗隆间骨折手术固定后发生股深动脉假性动脉瘤的患者，这是一种非常罕见的并发症。
病例报告
一名80岁男性患者在粗隆间骨折手术固定3周后出现大腿疼痛和肿胀。影像学评估显示股深动脉假性动脉瘤，由心胸血管外科团队进行处理。
结论
股深动脉假性动脉瘤虽然罕见，但却是股骨近端骨折手术固定后的严重并发症。鉴于其发病可能延迟，常常会被忽视或诊断较晚，从而导致重大风险。
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