{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:42:39Z","timestamp":1787755359240,"version":"build-2784847793"},"reference-count":14,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JBJS Case Connector"],"published-print":{"date-parts":[[2017,9]]},"abstract":"\n Case:<\/jats:title>\n A 75-year-old man underwent intramedullary nailing for an unstable intertrochanteric fracture of the left hip. After surgery and postoperative recovery, he was transferred to a rehabilitation ward. He was able to mobilize at 2 days postoperatively; at 2 weeks postoperatively, he developed the sudden onset of tachycardia, hypotension, and a large hematoma on the left thigh. Following immediate resuscitation, a computed tomography (CT) angiogram demonstrated a bleed from a branch of the profunda femoris artery. The 3-dimensional CT reconstruction implicated the displaced lesser trochanter osseous fragment as the cause of the hemorrhage.<\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n Surgeons should be aware of this rare complication and the possible etiology of fracture displacement as the cause of a delayed-onset bleed after intramedullary nailing, and they should also be cognizant of the subsequent optimal management.<\/jats:p>\n <\/jats:sec>","DOI":"10.2106\/jbjs.cc.16.00217","type":"journal-article","created":{"date-parts":[[2017,8,22]],"date-time":"2017-08-22T20:17:17Z","timestamp":1503433037000},"page":"e60-e60","source":"Crossref","is-referenced-by-count":9,"title":["Delayed Profunda Femoris Artery Bleeding After Intramedullary Nailing of an Unstable Intertrochanteric Fracture"],"prefix":"10.2106","volume":"7","author":[{"given":"Paul Y.F.","family":"Lee","sequence":"first","affiliation":[{"name":"South Wales Orthopaedic Research Network, Cardiff, South Wales, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pathi V.R.","family":"Rao","sequence":"additional","affiliation":[{"name":"Princess of Wales Hospital, Bridgend, South Wales, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1962-9621","authenticated-orcid":false,"given":"David M.","family":"Golding","sequence":"additional","affiliation":[{"name":"South Wales Orthopaedic Research Network, Cardiff, South Wales, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James","family":"Brock","sequence":"additional","affiliation":[{"name":"South Wales Orthopaedic Research Network, Cardiff, South Wales, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2017,8,23]]},"reference":[{"issue":"6","key":"bib1-20230712","doi-asserted-by":"crossref","first-page":"285","DOI":"10.1007\/BF01623184","article-title":"Hip fractures in the elderly: a world-wide projection","volume":"2","author":"Cooper","year":"1992","journal-title":"Osteoporos Int."},{"issue":"3","key":"bib2-20230712","doi-asserted-by":"crossref","first-page":"M101","DOI":"10.1093\/geronj\/45.3.M101","article-title":"Predictors of functional recovery one year following hospital discharge for hip fracture: a prospective study","volume":"45","author":"Magaziner","year":"1990","journal-title":"J Gerontol."},{"issue":"10 Suppl","key":"bib3-20230712","doi-asserted-by":"crossref","first-page":"S1","DOI":"10.1097\/00005131-200711101-00001","article-title":"Fracture and dislocation classification compendium \u2013 2007: Orthopaedic Trauma Association Classification, Database and Outcomes Committee","volume":"21","author":"Marsh","year":"2007","journal-title":"J Orthop Trauma."},{"key":"bib5-20230712","first-page":"694235","article-title":"Iatrogenic injury of profunda femoris artery branches after intertrochanteric hip screw fixation for intertrochanteric femoral fracture: a case report and literature review","volume":"2014","author":"Patelis","year":"2014","journal-title":"Case Rep Vasc Med."},{"issue":"5","key":"bib6-20230712","doi-asserted-by":"crossref","first-page":"380","DOI":"10.1016\/j.otsr.2009.04.014","article-title":"Superficial femoral artery injury resulting from intertrochanteric hip fracture fixation by a locked intramedullary nail","volume":"95","author":"Grimaldi","year":"2009","journal-title":"Orthop Traumatol Surg Res."},{"issue":"4","key":"bib7-20230712","doi-asserted-by":"crossref","first-page":"293","DOI":"10.1007\/s00590-010-0700-y","article-title":"Pseudoaneurysm of the profunda femoris artery following a long anterograde intramedullary nail for an unstable intertrochanteric hip fracture: a case report and review of the literature","volume":"21","author":"Li","year":"2011","journal-title":"Eur J Orthop Surg Traumatol."},{"key":"bib8-20230712","doi-asserted-by":"crossref","first-page":"195","DOI":"10.1016\/j.ijscr.2016.05.048","article-title":"Laceration of a branch of the profunda femoris artery caused by a spike of the displaced lesser trochanter in an inter-trochanteric femoral fracture. A case report","volume":"24","author":"Potenza","year":"2016","journal-title":"Int J Surg Case Rep."},{"key":"bib9-20230712","doi-asserted-by":"crossref","first-page":"215","DOI":"10.1097\/00003086-198111000-00026","article-title":"Profunda femoris arterial laceration secondary to intertrochanteric hip fracture fragments: a case report","volume":"161","author":"Mauerhan","year":"1981","journal-title":"Clin Orthop Relat Res."},{"issue":"5","key":"bib10-20230712","doi-asserted-by":"crossref","first-page":"549","DOI":"10.1016\/S0950-821X(05)80343-3","article-title":"Iatrogenic arterial trauma associated with hip joint surgery: an overview","volume":"5","author":"Lazarides","year":"1991","journal-title":"Eur J Vasc Surg."},{"issue":"1","key":"bib11-20230712","first-page":"96","article-title":"Iatrogenic blunt arterial injury during a hip fracture surgery","volume":"72","author":"Bansal","year":"2006","journal-title":"Acta Orthop Belg."},{"issue":"1-2","key":"bib12-20230712","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1007\/s004020050372","article-title":"Pseudoaneurysm of the profunda femoris artery due to intertrochanteric fracture of the hip","volume":"119","author":"Murphy","year":"1999","journal-title":"Arch Orthop Trauma Surg."},{"issue":"3","key":"bib13-20230712","doi-asserted-by":"crossref","first-page":"231","DOI":"10.1177\/112070000801800308","article-title":"Pseudoaneurysm of a branch of the profunda femoris artery following distal locking of an intramedullary hip nail: an unusual anatomical location","volume":"18","author":"Rajaesparan","year":"2008","journal-title":"Hip Int."},{"issue":"2","key":"bib14-20230712","doi-asserted-by":"crossref","first-page":"124","DOI":"10.1097\/00005131-200202000-00009","article-title":"Pseudoaneurysm of the superficial femoral artery after closed hip nailing with a Gamma nail: report of a case","volume":"16","author":"Yang","year":"2002","journal-title":"J Orthop Trauma."},{"issue":"6","key":"bib15-20230712","first-page":"284","article-title":"Iatrogenic arterial trauma associated with hip fracture surgery","volume":"93","author":"Karanikas","year":"1993","journal-title":"Acta Chir Belg."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/01709767-201707030-00019","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:41:51Z","timestamp":1787751711000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/01709767-201707030-00019"}},"subtitle":["A Case Report"],"short-title":[],"issued":{"date-parts":[[2017,8,23]]},"references-count":14,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2017]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.cc.16.00217","relation":{},"ISSN":["2160-3251"],"issn-type":[{"value":"2160-3251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,8,23]]}}}