title: Laceration of femoral vessels by an avulsion fracture fragment of the lesser trochanter after bipolar hemiarthroplasty.
abstract: Femoral vessel injuries after bipolar hemiarthroplasty have not been reported. The current report describes a case of a dual major vessel (superficial femoral artery and vein) injury associated with an avulsion fracture fragment of the lesser trochanter in a 76-year-old woman who had been treated with bipolar hemiarthroplasty because of a femoral neck fracture. The superficial femoral artery was repaired and the defect of the superficial femoral vein was reconstructed with a Gore-Tex graft (WL Gore and Associates Inc, Flagstaff, Ariz). The clinical result was satisfactory and there was no vascular problem at 1-year follow-up. Early diagnosis of this vascular injury prevents serious complications including gangrene of the injured limb.
authors.affiliation: Department of Orthopaedic Surgery, Gyeongsang National University College of Medicine, Chilam-dong, Chinju, South Korea.
authors.forename: Yong-Chan
authors.initials: YC
authors.lastname: Ha
authors.forename: Simion
authors.initials: S
authors.lastname: Luminita
authors.forename: Se-Hyun
authors.initials: SH
authors.lastname: Cho
authors.forename: Jun-Young
authors.initials: JY
authors.lastname: Choi
authors.forename: Kyung-Hoi
authors.initials: KH
authors.lastname: Koo
mesh_terms: D000368:Aged; D019644:Arthroplasty, Replacement, Hip; D019917:Blood Vessel Prosthesis Implantation; D005260:Female; D005263:Femoral Artery / Q000293:injuries* / Q000601:surgery; D005265:Femoral Neck Fractures / Q000601:surgery*; D005268:Femoral Vein / Q000293:injuries* / Q000601:surgery; D006620:Hip Fractures / Q000150:complications*; D006801:Humans; D022125:Lacerations / Q000209:etiology*