Evidence map›Paper›PMID 41492909›Full record

ArticleJournal of trauma and injury2025

Iatrogenic vascular injury during retrograde intramedullary nailing of a distal femur fracture: a case report.

Jeong Seok Choi, JunHyeok Kwon, Yun Ki Ryu, Wonseok Choi, Seonghyun Kang, Jong-Keon Oh, Jae-Woo Cho

Abstract readCase Reports
In one paragraph

Article in Journal of trauma and injury, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Jeong Seok ChoiDepartment of Orthopaedic Surgery, Armed Forces Capital Hospital, Seongnam, Korea.
JunHyeok KwonDepartment of Orthopaedic Surgery, Korea University Guro Hospital, Seoul, Korea.
Yun Ki RyuDepartment of Orthopaedic Surgery, Armed Forces Capital Hospital, Seongnam, Korea.
Wonseok ChoiDepartment of Orthopaedic Surgery, Korea University Guro Hospital, Seoul, Korea.
Seonghyun KangDepartment of Orthopaedic Surgery, Korea University Guro Hospital, Seoul, Korea.
Jong-Keon OhDepartment of Orthopaedic Surgery, Korea University Guro Hospital, Seoul, Korea.
Jae-Woo ChoDepartment of Orthopaedic Surgery, Korea University Guro Hospital, Seoul, Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We report a case of iatrogenic injury to the lateral circumflex femoral artery following distal femoral nailing in a 72-year-old patient. Postoperatively, progressive thigh swelling developed, but initial contrast-enhanced computed tomography (CT) showed no evidence of vascular injury. The arterial injury was subsequently identified on a follow-up contrast-enhanced CT scan and was successfully treated with angiographic microcoil embolization. This case underscores the critical importance of meticulous awareness of the trajectories of the lateral circumflex and deep femoral arteries during proximal interlocking screw insertion. It also highlights that early postoperative imaging can fail to detect such vascular complications. Therefore, a high index of clinical suspicion is paramount, and repeated imaging should be strongly considered if clinical signs, such as progressive swelling, persist despite initial negative findings.

Indexed as

Case reportsDistal femoral fracturesIatrogenic vascular injuryRetrograde nail

Identifiers

PMID41492909
PMCPMC12800525

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.