RESUMO
The authors report a case of secondary femoral fracture through the sliding hip screw portal following fixation of the femoral neck fracture. The femoral neck and subtrochanteric fracture was successfully treated by superimposing a trochanteric stabilization plate (TSP) onto the regular sliding hip screw.
Assuntos
Parafusos Ósseos , Fraturas do Fêmur/cirurgia , Fraturas do Colo Femoral/cirurgia , Fixação Interna de Fraturas , Fraturas do Quadril/cirurgia , Humanos , Masculino , Pessoa de Meia-IdadeRESUMO
The authors report two cases of an uncommon but preventable complication after fixation of intertrochanteric hip fracture, the pseudoaneurysm of the profunda femoris artery. Both cases in the present study presented as proximal thigh mass, and soft tissue sarcoma was suspicious in one case. The diagnosis was confirmed by angiographic study and the feeding vessels were successfully occluded during angiography. Proper placement of the retractors, using a shorter drill or drill guard, accurate screw length and a shorter side-plate DHS were recommended to prevent this problem.