1.
Unfallchirurg
; 124(2): 167-171, 2021 Feb.
Artigo
em Alemão
| MEDLINE
| ID: mdl-32820367
RESUMO
A 95-year-old patient suffered bleeding that required a transfusion after closed reduction and internal fixation (CRIF) of an intertrochanteric femoral fracture with a proximal femoral nail. After mobilization of the patient the secondarily dislocated fragment of the lesser trochanter perforated a side branch of the profunda femoris artery. The bleeding could be stopped by embolization and a few days later the patient could be discharged with stable hemoglobin levels. A continuing decrease of hemoglobin levels despite repeated transfusion of red blood cells is indicative of active bleeding. Accurate identification of the source of the bleeding after osteosynthesis of proximal femoral fractures is decisive for the correct treatment.
Assuntos
Fraturas do Fêmur , Fixação Intramedular de Fraturas , Fraturas do Quadril , Idoso de 80 Anos ou mais , Pinos Ortopédicos , Artéria Femoral/diagnóstico por imagem , Artéria Femoral/cirurgia , Fraturas do Fêmur/diagnóstico por imagem , Fraturas do Fêmur/cirurgia , Fêmur , Fixação Interna de Fraturas/efeitos adversos , Fraturas do Quadril/diagnóstico por imagem , Fraturas do Quadril/cirurgia , Humanos
2.
Dtsch Med Wochenschr
; 93(35): 1623-8, 1968 Aug 30.
Artigo
em Alemão
| MEDLINE
| ID: mdl-5666885