Open AccessProfunda femoris artery injury following internal fixation with cannulated hip screws for a femoral neck fracture
Author(s) -
Chun Chi Hung,
Chih Chien Wang,
LiChen Lin,
Ru Yu Pan,
Horng-Der Shen,
Chian Her Lee,
Guo Shu Huang
Publication year - 2016
Publication title -
yīxué yánjiū zázhì/journal of medical sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.176
H-Index - 12
eISSN - 2542-4939
pISSN - 1011-4564
DOI - 10.4103/1011-4564.177176
Subject(s) - medicine , internal fixation , surgery , femoral neck , fixation (population genetics) , complication , circumflex , femoral artery , dynamic hip screw , radiology , artery , population , osteoporosis , environmental health , endocrinology
Profunda femoris artery (PFA) injury is a rare complication following fracture of the femoral neck. Here, we present a case of a patient with an injured branch of the PFA following internal fixation with cannulated hip screws for a femoral neck fracture. Computed tomography angiography revealed active bleeding from the ascending and descending branches of lateral femoral circumflex artery. We suspected that the cause of the vessel laceration was the sharp tip of the guidewire used during surgery or the closed reduction performed during surgery. The patient was successfully treated with coil embolization. With early recognition and prompt radiological intervention, this rare complication following fracture fixation surgery can be treated without the need for additional surgery