Hip; Guide wire; Hip nailing; Complication; Pseudoaneurysm
TURKISH ASSOC ORTHOPAEDICS TRAUMATOLOGY
ACTA ORTHOPAEDICA ET TRAUMATOLOGICA TURCICA, v. 51, no. 3, page. 266-269
An 85-year-old woman developed severe swelling and pain in the proximal thigh after internal fixation of an intertrochanteric fracture of the femur with a hip nail. In order to identify the causes and determine the effective treatment, angiography was performed. The results of the angiography revealed a pseudoaneurysm of a branch of deep femoral artery. Endovascular embolization was used to treat the pseudoaneurysm. After reviewing all possible causes, we found a mistake in insertion of a guide wire for hip nail. Using intraoperative fluoroscopic images, we found the mal-positioned guide wire located posterior to trochanter on lateral view of hip. This case study reminds us that pseudoaneurysm can occur in a guide wire during hip nailing. Surgeons can avoid this complication with confirmation of lateral and anteroposterior view of hip. (C) 2017 Turkish Association of Orthopaedics and Traumatology. Publishing services by Elsevier B.V.