Iatrogenic blunt arterial injury during a hip fracture surgery.

Published online: Feb 27 2006

Rajeev Bansal, Patrick W. Laing

From the Wrexham Maelor Hospital, Wrexham, North Wales, United Kingdom


Iatrogenic non-penetrating arterial injuries have been reported following primary and revision hip arthroplasties. We report a patient who developed acute limb ischaemia after dynamic hip screw fixation was performed for an unstable intertrochanteric fracture. We discuss a previously unreported mechanism of traction creating tension on the atherosclerosed vessels and medial retraction tenting and breaking the vessel wall lining. This case highlights a serious complication in one of the most commonly performed hip surgeries.