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Year : 2019  |  Volume : 53  |  Issue : 3  |  Page : 479-481

Proximal femoral erosion: A sequelae of psuedoaneursym formation following operative fixation of an intertrochanteric neck of femur fracture

1 Department of Orthopaedics, The Royal Melbourne Hospital, Parkville, VIC, Australia
2 Department of Orthopaedics, Manchester Royal Infirmary, Manchester, UK
3 Department of Orthopaedics, Guy's and St Thomas' Hospitals, London, UK

Correspondence Address:
Dr. Daniel J Epstein
Department of Orthopaedics, The Royal Melbourne Hospital, Level 7 East, 300 Grattan Street, Parkville VIC, 3050
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ortho.IJOrtho_139_18

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A 72-year-old male sustained a left intertrochanteric neck of femur fracture following a fall. He underwent operative fixation with a dynamic hip screw and was discharged home. Fifteen months later, the patient presented again with ongoing left thigh pain and swelling. A pelvic radiograph showed scalloping of the medial proximal femoral cortex. Further investigation revealed a left profunda femoris artery pseudoaneurysm. Vascular injury during operative fixation of intratrochanteric fractures is a rare complication, which may be missed due to a delayed presentation. Treating physicians should be mindful of late presentations of vascular injury following the surgical fixation of proximal femoral fractures.

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