title: Amputated limb by cerclage wire of femoral diaphyseal fracture: a case report.
abstract: An entrapment of the femoral artery by cerclage wiring is a rare complication after spiral diaphyseal femoral fractures. We report the case of an 82-year-old female treated by an antegrade intramedullary nailing and multiple cable augmentation, which was then complicated by injury to the femoral artery that resulted in ipsilateral leg necrosis and amputation. The entrapment was caused by direct belting by the cable and resulted in a total obstruction of the femoral artery.
authors.affiliation: Department of Orthopaedic Surgery, Yonsei University Graduate School of Medicine, Seoul, South Korea.|Department of Orthopaedic Surgery, College of Medicine, Konyang University, Daejeon, South Korea.|Harvard Medical School Orthopedic Trauma Initiative, Brigham and Women's Hospital, 75 Francis Street, Boston, MA, 02115, USA.
authors.forename: Yougun
authors.initials: Y
authors.lastname: Won
authors.affiliation: Department of Orthopaedics, School of Medicine, Yonsei University, Seoul, South Korea. kyang@yuhs.ac.
authors.forename: Kyu-Hyun
authors.initials: KH
authors.lastname: Yang
authors.affiliation: Department of Orthopaedic Surgery, College of Medicine, Konyang University, Daejeon, South Korea.
authors.forename: Kwang-Kyoun
authors.initials: KK
authors.lastname: Kim
authors.affiliation: Harvard Medical School Orthopedic Trauma Initiative, Brigham and Women's Hospital, 75 Francis Street, Boston, MA, 02115, USA.
authors.forename: M J
authors.initials: MJ
authors.lastname: Weaver
authors.affiliation: Harvard Medical School Orthopedic Trauma Initiative, Brigham and Women's Hospital, 75 Francis Street, Boston, MA, 02115, USA.
authors.forename: Elizabeth M
authors.initials: EM
authors.lastname: Allen
mesh_terms: D000369:Aged, 80 and over; D000671:Amputation, Surgical / Q000379:methods*; D001858:Bone Nails; D001864:Bone Wires / Q000009:adverse effects*; D000072226:Computed Tomography Angiography; D005260:Female; D005263:Femoral Artery / Q000293:injuries*; D005264:Femoral Fractures / Q000601:surgery*; D005269:Femur / Q000601:surgery*; D005593:Fracture Fixation, Internal / Q000009:adverse effects* / Q000379:methods; D005594:Fracture Fixation, Intramedullary / Q000009:adverse effects*; D006801:Humans; D021621:Imaging, Three-Dimensional; D009336:Necrosis / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D011183:Postoperative Complications; D012086:Reoperation
keywords: Cerclage wiring; Femoral artery entrapment; Femur diaphyseal fracture; Vessel entrapment