{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:26:39Z","timestamp":1787754399939,"version":"build-2784847793"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"name":"Bangkok Dusit Medical Services Plc."}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>A 90-year-old woman with osteoporosis sustained a right intertrochanteric fracture and underwent closed reduction and internal fixation with a Proximal Femoral Nail Antirotation (PFNA). During preaugmentation assessment, radiopaque contrast injected through the PFNA blade\u2014intended to exclude intra-articular communication\u2014unexpectedly leaked into surrounding vasculature, indicating potential intravascular access. Cement injection was aborted, and the patient recovered uneventfully under a multidisciplinary fragility fracture care pathway.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>This is the reported case of intravascular contrast leakage during preaugmentation assessment in hip fixation, highlighting the importance of routine contrast injection to identify vascular communication and prevent possible cement embolism.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.25.00561","type":"journal-article","created":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T19:00:25Z","timestamp":1768503625000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Intravascular Contrast Leakage in Intertrochanteric Fragility Fracture"],"prefix":"10.2106","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4949-0229","authenticated-orcid":false,"given":"Chatchanin","family":"Mayurasakorn","sequence":"first","affiliation":[{"name":"Orthopedic Center, Bangkok International Hospital, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-2596-5084","authenticated-orcid":false,"given":"Vajara","family":"Phiphobmongkol","sequence":"additional","affiliation":[{"name":"Orthopedic Center, Bangkok International Hospital, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-9136-5133","authenticated-orcid":false,"given":"Eakachit","family":"Sikarinkul","sequence":"additional","affiliation":[{"name":"Orthopedic Center, Bangkok International Hospital, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-7110-7572","authenticated-orcid":false,"given":"Pongtorn","family":"Sirithianchai","sequence":"additional","affiliation":[{"name":"Orthopedic Center, Bangkok International Hospital, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-2421-237X","authenticated-orcid":false,"given":"Panuwat","family":"Silawatshananai","sequence":"additional","affiliation":[{"name":"Orthopedic Center, Bangkok International Hospital, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-7658-1013","authenticated-orcid":false,"given":"Suthorn","family":"Bavonratanavech","sequence":"additional","affiliation":[{"name":"Orthopedic Center, Bangkok International Hospital, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,1]]},"reference":[{"issue":"8","key":"bib2-20260115","doi-asserted-by":"crossref","first-page":"1436","DOI":"10.1016\/j.injury.2018.04.022","article-title":"Cement augmentation of the proximal femoral nail antirotation (PFNA)\u2014a multicentre randomized controlled trial","volume":"49","author":"Kammerlander","year":"2018","journal-title":"Injury."},{"issue":"12","key":"bib3-20260115","doi-asserted-by":"crossref","first-page":"1484","DOI":"10.1016\/j.injury.2011.07.010","article-title":"Standardised cement augmentation of the PFNA using a perforated blade: a new technique and preliminary clinical results. A prospective multicentre trial","volume":"42","author":"Kammerlander","year":"2011","journal-title":"Injury."},{"issue":"1","key":"bib4-20260115","doi-asserted-by":"crossref","first-page":"72","DOI":"10.1093\/eurheartj\/ehac588","article-title":"Pulmonary artery bone cement embolization resulting from percutaneous vertebroplasty","volume":"44","author":"Ku","year":"2023","journal-title":"Eur Heart J."},{"issue":"9","key":"bib5-20260115","doi-asserted-by":"crossref","first-page":"839","DOI":"10.1016\/j.spinee.2011.07.027","article-title":"Cement leakage in percutaneous vertebroplasty for osteoporotic vertebral compression fractures: identification of risk factors","volume":"11","author":"Nieuwenhuijse","year":"2011","journal-title":"Spine J."},{"issue":"9","key":"bib6-20260115","doi-asserted-by":"crossref","first-page":"1536","DOI":"10.3390\/medicina59091536","article-title":"Complications of percutaneous vertebroplasty: a pictorial review","volume":"59","author":"Cavka","year":"2023","journal-title":"Medicina (Kaunas)."},{"issue":"13","key":"bib7-20260115","doi-asserted-by":"crossref","first-page":"1465","DOI":"10.1097\/01.BRS.0000128758.64381.75","article-title":"Anatomical and pathological considerations in percutaneous vertebroplasty and kyphoplasty: a reappraisal of the vertebral venous system","volume":"29","author":"Groen","year":"2004","journal-title":"Spine (Phila Pa 1976)."},{"issue":"1","key":"bib8-20260115","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1302\/0301-620X.85B1.13026","article-title":"Leakage of cement in percutaneous transpedicular vertebroplasty for painful osteoporotic compression fractures","volume":"85","author":"Yeom","year":"2003","journal-title":"J Bone Jt Surg Br."},{"issue":"41","key":"bib9-20260115","doi-asserted-by":"crossref","first-page":"e17547","DOI":"10.1097\/MD.0000000000017547","article-title":"Bone cement leaking into iliac vein during artificial femoral head replacement: a case report","volume":"98","author":"Cai","year":"2019","journal-title":"Medicine (Baltimore)."},{"issue":"3","key":"bib10-20260115","doi-asserted-by":"crossref","first-page":"72","DOI":"10.62347\/FHAR9264","article-title":"Intracardiac leakage of cement during artificial femoral head replacement: a case report and review","volume":"17","author":"Li","year":"2024","journal-title":"Int J Clin Exp Pathol."},{"issue":"8","key":"bib11-20260115","doi-asserted-by":"crossref","first-page":"2011","DOI":"10.1007\/s11999-017-5318-5","article-title":"Epiphyseal arterial network and inferior retinacular artery seem critical to femoral head perfusion in adults with femoral neck fractures","volume":"475","author":"Zhao","year":"2017","journal-title":"Clin Orthop Relat Res."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.25.00561","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:26:51Z","timestamp":1787750811000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.25.00561"}},"subtitle":["A Case Report"],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":10,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.cc.25.00561","relation":{},"ISSN":["2160-3251"],"issn-type":[{"value":"2160-3251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]}}}