Pseudoaneurysm of the deep femoral artery caused by a guide wire following femur intertrochanteric fracture with a hip nail: A case report

Abstract

An 85-year-old woman developed severe swelling and pain in the proximal thigh after internalŞxationof an intertrochanteric fracture of the femur with a hip nail. In order to identify the causes and determinethe effective treatment, angiography was performed. The results of the angiography revealed a pseudoaneurysm of a branch of deep femoral artery. Endovascular embolization was used to treat thepseudoaneurysm. After reviewing all possible causes, we found a mistake in insertion of a guide wire forhip nail. Using intraoperativefluoroscopic images, we found the mal-positioned guide wire locatedposterior to trochanter on lateral view of hip. This case study reminds us that pseudoaneurysm can occurin a guide wire during hip nailing. Surgeons can avoid this complication with conŞrmation of lateral andanteroposterior view of hip.© 2017 Turkish Association of Orthopaedics and Traumatology. Publishing services by Elsevier B.V. This isan open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)