Profunda femoris artery injury following internal fixation with cannulated hip screws for a femoral neck fracture

Chun Chi Hung, Chih Chien Wang, Leou Chyr Lin, Ru Yu Pan, Hsain Chung Shen, Chian Her Lee, Guo Shu Huang

Research output: Contribution to journalArticle

Abstract

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.

Original languageEnglish
Pages (from-to)31-34
Number of pages4
JournalJournal of Medical Sciences (Taiwan)
Volume36
Issue number1
DOIs
Publication statusPublished - Jan 1 2016
Externally publishedYes

Keywords

  • Cannulated hip screw
  • Femoral neck fracture
  • Profunda femoris artery

ASJC Scopus subject areas

  • Medicine(all)

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