Skip to main content

Advertisement

SpringerLink
Log in

Position of the superficial femoral artery in closed hip nailing

  • Original Article
  • Published:
Archives of Orthopaedic and Trauma Surgery Aims and scope Submit manuscript

Abstract

Introduction

Adduction of the ipsilateral hip joint is necessary to facilitate closed hip nailing for trochanteric fracture. Even though positioning the patient supine with the perineal post against the ipsilateral medial thigh can change the course of the neurovascular structure in the proximal thigh, there have been no reports regarding the position of the femoral artery in the hip nailing position.

Materials and methods

We studied the position of the superficial femoral artery in 59 thighs using color-flow duplex scanning method in three hip nailing positions.

Results

The mean of the distance between the superficial femoral artery and the femur in 48 normal limbs was 20.28 mm in neutral position (D1), 11.85 mm in 20o adduction (D2), and 9.53 mm in 20o adduction plus 20o internal rotation of the foot plate (D3). The distances D2 and D3 were always shorter than D1 (p<0.001). D3 was less than 10 mm in 30 of the normal limbs (62.5%) and less than 5 mm in 4 (8%). In 11 patients who sustained a trochanteric fracture, the mean of D1, D2, and D3 in the injured limbs was 25.28 mm, 17.98 mm, and 14.38 mm, respectively. The mid-thigh circumference and D3 of the injured limbs were always greater than those of the normal limbs (p<0.001). However, D3 of both sides was less than 10 mm in 3 patients.

Conclusion

To lessen the vascular injury during hip nailing, we recommend that the limb be placed in neutral position during preparation of the interlocking holes.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2A–C
Fig. 3
Fig. 4
Fig. 5

Similar content being viewed by others

References

  1. Cooper C, Melton LJ III (1996) Magnitude and impact of osteoporosis and fractures. In: Marcus R, Feldman D, Kelsey J (eds) Osteoporosis. Academic Press, San Diego, pp 419–434

  2. Ebong WW (1978) False aneurysm of the profunda femoris artery following internal fixation of an intertrochanteric femoral fracture. Injury 9:249–251

    CAS  PubMed  Google Scholar 

  3. Farrington WJ, Charnley GJ, Harries SR, Sharp R, Hughes PM (1999) The position of the popliteal artery in the arthritic knee. J Arthroplasty 14:800–802

    CAS  PubMed  Google Scholar 

  4. Faure C, Merloz P (1987) Transfixation—atlas of anatomical section for the external fixation of limbs. Springer, Berlin Heidelberg New York, pp 65–89

  5. Fernandez Gonzalez J, Terriza MD, Cabada T, Garcia-Araujo C (1995) False aneurysm of the femoral artery as a late complication of an intertrochanteric fracture. Int Orthop 19:187–189

    PubMed  Google Scholar 

  6. Fordyce A (1968) False aneurysm of the profunda femoris artery following nail and plate fixation of an intertrochanteric fracture—report of a case. J Bone Joint Surg Br 50:141–143

    Google Scholar 

  7. Karanikas I, Lazarides M, Arvanitis D, Papayanopoulos G, Exarchou E, Dayantas J (1993) Iatrogenic arterial trauma associated with hip fracture surgery. Acta Chir Belg 93:284–286

    CAS  PubMed  Google Scholar 

  8. Karkos CD, Hughes R, Prasad V, D’Souza SP (1999) Thigh compartment syndrome as a result of a false aneurysm of the profunda femoris artery complicating fixation of an intertrochanteric fracture. J Trauma 47:393–395

    CAS  PubMed  Google Scholar 

  9. Khosla S, Melton LJ III (1995) Secondary osteoporosis. In: Riggs BL, Melton LJ III (eds). Osteoporosis. Etiology, diagnosis, and management. Lippincott-Raven, Philadelphia, pp 183–204

  10. Manner M, Rosch B, Roy K (1999) Vascular injuries complicating osteosynthesis in proximal femur fracture. Unfallchirurg 102:227–231

    Article  CAS  PubMed  Google Scholar 

  11. Murphy PG, Geoghegan JG, Austin O, Nore-O’Ferrall R, Quinlan WR, Keaveny TV (1999) Pseudoaneurysm of the profunda femoris artery due to intertrochanteric fracture of the hip. Arch Orthop Trauma Surg 119:117–118

    CAS  PubMed  Google Scholar 

  12. Parker MJ, Pryor GA (1993) Hip fracture management. Blackwell Scientific Publications, Oxford, pp 65–87

  13. Rickman M, Saley M, Gaines PA, Eyres K (1999) Vascular complications of osteotomies in limb reconstruction. J Bone Joint Surg Br 81:890–892

    Article  CAS  PubMed  Google Scholar 

  14. Yang KH, Park HW, Park SJ (2002) Pseudoaneurysm of the superficial femoral artery after closed hip nailing with a gamma nail: report of a case. J Orthop Trauma 16:124–127

    Article  PubMed  Google Scholar 

  15. Wolfgang GL, Barnes WT, Hendricks G (1974) False aneurysm of the profunda femoris artery resulting from nail plating fixation of intertrochanteric fracture—a case report and review of the literature. Clin Orthop 100:143–150

    CAS  PubMed  Google Scholar 

Download references

Acknowledgements

This study was supported by Brain Korea 21 Project for Medical Science, Yonsei University.

Author information

Authors and Affiliations

  1. Department of Orthopaedic Surgery, Youngdong Severance Hospital, Yonsei University College of Medicine, 146-92 Dokokdong Kangnamgu, Seoul, Korea

    Kyu Hyun Yang, Hui Wan Park, Hui Wan Park, Jong Hoon Won, Sung Jin Park & Sung Jin Park

  2. Department of Diagnostic Radiology, Yonsei University College of Medicine, Seoul, Korea

    Choon Sik Yoon

Authors
  1. Kyu Hyun Yang
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Choon Sik Yoon
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Hui Wan Park
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Jong Hoon Won
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Sung Jin Park
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Kyu Hyun Yang.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Yang, K.H., Yoon, C.S., Park, H.W. et al. Position of the superficial femoral artery in closed hip nailing. Arch Orthop Trauma Surg 124, 169–172 (2004). https://doi.org/10.1007/s00402-003-0618-5

Download citation

  • Received:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00402-003-0618-5

Keywords

Search

Navigation