48-254

Pseudoaneurismas femorales en fracturas de cadera. ¿Se pueden evitar?

Femoral pseudoaneurysms hip fractures. Can it be avoided?

M. BARRÉS, M. GARCÉS, A. BALFAGÓN. UNIDAD DE TRAUMATOLOGÍA. SERVICIO DE CIRUGÍA ORTOPÉDICA Y TRAUMATOLÓGICA, HOSPITAL POLITÉCNICO Y UNIVERSITARIO LA FE, VALENCIA, ESPAÑA.
Recepción:
15/01/2014
Aceptación:
15/01/2014
Publicación:
15/01/2014


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Resumen (ES)

Although the appearance of a femoral pseudoaneurysm is uncommon in the context of treatment of trochanteric fractures, due to their extreme gravity and its possible involvement in the causes of death, it is necessary for early diagnosis and appropriate treatment. We report 3 cases in which an injury occurred superficial femoral artery, and 2 of the deep femoral artery, 3 cases treated with stents. Conclusions. It should be taken into consideration, correct adduction and internal rotation of the fractured limb once fitted the implant, the use of short bits or a cap on the distal locking time, proper length screws, control the displacement of the lesser trochanter , or the correct placement of the femoral cerclage, to decrease the incidence of these injuries.

Palabras clave (ES):

Artroplastia de cadera
Fractura de cadera
Complicaciones
Aneurisma
Pseudoaneurisma femoral
Lesión vasular
Prótesis de cadera

Resumen (EN)

Although the appearance of a femoral pseudoaneurysm is uncommon in the context of treatment of trochanteric fractures, due to their extreme gravity and its possible involvement in the causes of death, it is necessary for early diagnosis and appropriate treatment. We report 3 cases in which an injury occurred superficial femoral artery, and 2 of the deep femoral artery, 3 cases treated with stents. Conclusions. It should be taken into consideration, correct adduction and internal rotation of the fractured limb once fitted the implant, the use of short bits or a cap on the distal locking time, proper length screws, control the displacement of the lesser trochanter , or the correct placement of the femoral cerclage, to decrease the incidence of these injuries.

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