Amputated limb by cerclage wire of femoral diaphyseal fracture: a case report

Amputated limb by cerclage wire of femoral diaphyseal fracture: a case report

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 art...

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Veröffentlicht in:Archives of orthopaedic and trauma surgery 2016-12, Vol.136 (12), p.1691-1694
Hauptverfasser: Won, Yougun, Yang, Kyu-Hyun, Kim, Kwang-kyoun, Weaver, M. J., Allen, Elizabeth M.
Format: Artikel
Sprache:eng
Schlagworte:
Aged, 80 and over
Amputation - methods
Bone Nails
Bone Wires - adverse effects
Case reports
Catheters
Computed Tomography Angiography
Female
Femoral Artery - injuries
Femoral Fractures - surgery
Femur - surgery
Fracture Fixation, Internal - adverse effects
Fracture Fixation, Internal - methods
Fracture Fixation, Intramedullary - adverse effects
Humans
Imaging, Three-Dimensional
Medicine
Medicine & Public Health
Necrosis - diagnosis
Necrosis - etiology
Necrosis - surgery
Orthopedics
Postoperative Complications
Premature birth
Reoperation
Sutures
Trauma Surgery
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Beschreibung
Zusammenfassung: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.
ISSN:0936-8051
1434-3916
DOI:10.1007/s00402-016-2580-z