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Helical Blade Locking Sleeve Disassembly Following Failed Femur Intertrochanter Fracture
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Soon Ho Huh, Hong-Man Cho, Ji-Yeon Park
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J Korean Fract Soc 2021;34(3):112-116. Published online July 31, 2021
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DOI: https://doi.org/10.12671/jkfs.2021.34.3.112
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 Abstract
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- A helical blade type of hip screw is used widely for the operative management of femoral trochanteric fractures. A 73-year-old female patient was admitted for femoral trochanteric fracture AO/OTA type 31A2.2. A helical blade locking sleeve dissembled 18 weeks after surgery did not achieve accurate reduction. The patient underwent bipolar hip hemiarthroplasty because the fracture reduction was lost, and it was impossible to remove the remaining helical blade without bone loss. The authors report this case of a rare complication of helical blade.
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Injury of the Ascending Branch of the Lateral Femoral Circumflex Artery Caused by a Spike of the Displaced Lesser Trochanter in an Intertrochanteric Femoral Fracture - A Case Report -
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Soon Ho Huh, Hong-Man Cho, Jiyeon Park
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J Korean Fract Soc 2021;34(2):71-75. Published online April 30, 2021
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DOI: https://doi.org/10.12671/jkfs.2021.34.2.71
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Abstract
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- Although vascular injuries associated with femoral intertrochanteric fractures have been reported infrequently, bleeding due to vascular injury can lead to severe complications that can be potentially life and limb-threatening. The authors report a case of an injury of the ascending branch of the lateral femoral convolutional artery in a patient who underwent surgical treatment for a femoral intertrochanteric fracture. Vascular injury occurred due to the sharp margin of displaced lesser trochanter five weeks after surgery. Percutaneous transcatheter embolization was done and improved without additional complications. Therefore, the surgeons need to be aware of possible associated vascular injuries caused by displaced lesser trochanter fragments in femoral intertrochanteric fractures.
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