지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2016.1
- 수록면
- 54 - 59 (6page)
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초록· 키워드
오류제보하기
Recently, we experienced a case where the diagnosis and management of a deep femoral artery rupture was delayed. This vascular complication occurred during the insertion of a distal interlocking screw of a proximal femoral nail for the fixation of an intertrochanteric femur fracture. A 79-year-old male patient was diagnosed with a right intertrochanteric fracture after a fall. We fixed the fracture with a proximal femoral nail (Zimmer Natural NailTM System). One day after the procedure, the patient complained of pain and swelling on the anteromedial side of his middle thigh followed by hypotension, anemia and prolonged thigh swelling. Computed tomography angiography was performed 7 days after the procedure. We found a pseudoaneurysm of the perforating artery caused by injury to the deep femoral artery and an intramuscular hematoma in the anterior thigh muscle. We successfully treated the pseudoaneurysm using coil embolization. Throughout the management of intertrochanteric femoral fractures, it is important to be aware and monitor signs and symptoms related to the possibility of blood vessel damage. When a patient presents with swelling and pain on the middle thigh and/or unexplained anemia postoperatively, the possibility that these symptoms are caused by an injury to the femoral artery must be considered.
목차
등록된 정보가 없습니다.
참고문헌 (13)
참고문헌 신청
Dameron TB Jr / 1964 / False aneurysm of femoral profundus artery resulting from internal-fixation device(Screw) / J Bone Joint Surg Am 46:577~580
Fordyce A. / 1968 / False aneurysm of the profunda femoris artery following nail and plate fixation of an intertrochanteric fracture. Report of a case / J Bone Joint Surg Br 50:141~143
박원로 / 2012 / 불안정 대퇴골 전자간 골절에서 발생한 천부 대퇴 동맥 손상 - 증례 보고 - / Hip and Pelvis 24(4):338~341
Singh S / 2013 / Pseudoaneurysm of profunda femoris artery following dynamic hip screw fixation for intertrochanteric femoral fracture / Chin J Traumatol 16:233~236
Chan WS / 2010 / Pseudoaneurysm and intramuscular haematoma after dynamic hip screw fixation for intertrochanteric femoral fracture : a case report / J Orthop Surg(Hong Kong) 18:244~247
Fordyce A. / 1968 / False aneurysm of the profunda femoris artery following nail and plate fixation of an intertrochanteric fracture. Report of a case / J Bone Joint Surg Br 50:141~143
박원로 / 2012 / 불안정 대퇴골 전자간 골절에서 발생한 천부 대퇴 동맥 손상 - 증례 보고 - / Hip and Pelvis 24(4):338~341
Singh S / 2013 / Pseudoaneurysm of profunda femoris artery following dynamic hip screw fixation for intertrochanteric femoral fracture / Chin J Traumatol 16:233~236
Chan WS / 2010 / Pseudoaneurysm and intramuscular haematoma after dynamic hip screw fixation for intertrochanteric femoral fracture : a case report / J Orthop Surg(Hong Kong) 18:244~247
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