case_images: PMC11357815_01
case_images: Left hip intertrochanteric fracture preoperation.
case_images: CRIOR2024-5590091.001.jpg
case_images: PMC11357815_01_CRIOR2024-5590091.001.jpg
case_images: fig1
case_images: The patient presented to the emergency department with left hip pain and was found to have an isolated left hip intertrochanteric fracture (see Figure 1).
case_images: (a) Proximal femur immediately posthardware placement. (b) Distal femur at the level of the interlocking screw, immediately posthardware placement.
case_images: CRIOR2024-5590091.002.jpg
case_images: PMC11357815_01_CRIOR2024-5590091.002.jpg
case_images: fig2
case_images: The surgery was performed as planned, and the nail, lag screw, and distal interlocking screw were all confirmed to be placed properly via intraoperative fluoroscopy (see Figure 2).
case_images: (a) Fluoroscopy demonstrating branch of the profunda femoris artery bleeding and hematoma. (b) Angiography view further demonstrating the bleeding branch of the profunda femoris artery.
case_images: CRIOR2024-5590091.003.jpg
case_images: PMC11357815_01_CRIOR2024-5590091.003.jpg
case_images: fig3
case_images: At this point, subsequent angiography was performed, and she was found to have active arterial bleeding from a branch of the profunda femoris artery at the level of the distal interlocking screw with an accompanying intramuscular hematoma (see Figure 3).