ArticleInternational orthopaedics2017
The incidence of life threatening iatrogenic vessel injury following closed or open reduction and internal fixation of intertrochanteric femoral factures.
Article in International orthopaedics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Positional difference in deep femoral artery during intramedullary nailing for proximal femoral fractures: a within-subject comparative study.BMC musculoskeletal disorders · 2026Article
- Vascular Complications Following Trans-Trochanteric Fracture: Case Report and Literature Review.Reports (MDPI) · 2025Article
- Article
- [Research progress on distal interlocking screws of cephalomedullary nails in intertrochanteric fractures].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2024Article
- Traumatic Disruption of Profunda Femoris Artery Branch Following Treatment of an Intertrochanteric Hip Fracture With a Cephalomedullary Nail.Case reports in orthopedics · 2024Article
- Article
- Distal interlocking for short trochanteric nails: static, dynamic or no locking? Review of the literature and decision algorithm.EFORT open reviews · 2020Review
- The distance of the femoral neurovascular bundle from the hip joint: an intraoperative guide to reduce iatrogenic injury.Journal of orthopaedic surgery and research · 2018Article
- Power-Tool Use in Orthopaedic Surgery: Iatrogenic Injury, Its Detection, and Technological Advances: A Systematic Review.JB & JS open accessArticle
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aim of the studyBleeding due to a vascular injury is a possible life-threatening complication of intertrochanteric femoral fracture internal fixation. Our goals were to find the current incidence of these events, and to describe the reasons, the presentation, and the treatment options.
methodWe conducted a retrospective record review of 1,469 patients who were operated upon at our institution due to AO31A femoral fractures from 2011 through 2015 and were treated with closed reduction and internal fixation.
resultsThree patients were diagnosed with iatrogenic vascular bleeding, which constitute an incidence of 0.2%. The vascular injuries were detected as deep femoral artery bleeding adjacent to the distal locking screws. The patients were treated with ultrasound guided thrombin injection, endovascular coil embolization or with no endovascular intervention. DISCUSSION: Vascular injuries are caused mainly by perforating a vessel while drilling the distal locking screw holes. A high level of suspicion and immediate imaging work-up are mandatory.
conclusionsA vascular injury due to internal fixation of a proximal AO31A femoral fracture is a rare complication.
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