Femoral artery entrapment after cerclage wiring of distal femoral shaft fracture: A case report

We described a case of superficial femoral artery entrapment after internal fixation augmented with cerclage wire. An 80-year-old female underwent fixation with distal femur locking compression plate augmented with cerclage wire. Six hours after the operation, she developed pulseless limb and computed tomography angiogram showed femoral artery entrapped by cerclage wire. After vascular exploration and cerclage wire removal, the femoral artery returned to normal flow without further complication. We review available literature studies on vascular injury after cerclage wiring especially in the distal part of the femur, the so-called safe zone, for the great care needed before cerclage wiring and the importance of immediate diagnosis and treatment.摘要股骨骨折固定後股動脈損傷是一種罕見的並發症。以前文獻研究主要集中在股骨近端骨折。我們描述了內固定加上環紮線後股淺動脈卡壓的病例。一名80歲的女性接受遠端股骨鎖定加壓板固定，輔以環紮線。手術後6小時，她呈現無脈性肢體，斷層掃描血管造影顯示股動脈被動環紮線夾閉。在血管探查和環紮線移除後，股動脈恢復正常流動而沒有進一步的並發症。我們回顧了有關環紮術後血管損傷的文獻研究，特別是在股骨遠端部分，即所謂的安全區，在進行環紮術前需要謹慎以及立即診斷和治療的重要性。
Source: Journal of Orthopaedics, Trauma and Rehabilitation - Category: Orthopaedics Source Type: research