• J Surg Orthop Adv · Jan 2004

    Case Reports

    Late vascular injury following intertrochanteric fracture reduction with sliding hip screw.

    • Carlos E Moreyra, Carlos J Lavernia, and Christopher C Cooke.
    • Orthopedic Institute at Mercy, Miami, FL 33133, USA.
    • J Surg Orthop Adv. 2004 Jan 1; 13 (3): 170-3.

    AbstractA case involving late injuries to pelvic vessels caused by a sliding hip screw penetrating through the acetabulum has not been previously reported. We present the case of an 88-year-old man who presented with a retroperitoneal and extraperitoneal hematoma 4 months after open reduction and internal fixation of an intertrochanteric hip fracture. Surgical exploration showed a laceration of the left external iliac artery, which was repaired. However, the sliding hip screw was left in place. The patient's condition deteriorated, and he expired 2 days later. Postmortem examination revealed a laceration of the left internal iliac vein. Our calculations show that the compression screw utilized in the fixation may not have been properly engaged into the sliding screw.

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