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CASE REPORT
Year : 2016  |  Volume : 36  |  Issue : 1  |  Page : 31-34

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


1 Department of Orthopaedic Surgery, Tri-Service General Hospital and National Defense Medical Center, Taipei, Taiwan
2 Department of Orthopedics, Taipei Medical University Hospital; Department of Orthopedics, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan
3 Department of Radiology, Tri-Service General Hospital, School of Medicine, National Defense Medical Center, Taipei, Taiwan

Correspondence Address:
Chih-Chien Wang
Department of Orthopaedic Surgery, Tri-Service General Hospital, 325 Cheng-Kung Road, Section 2, Taipei 114
Taiwan
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1011-4564.177176

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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.


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