Profunda femoris vein laceration caused by a displaced lesser trochanter fragment: a case report of intraoperative vascular risk in intertrochanteric fracture - Takeaways - MDSpire

Profunda femoris vein laceration caused by a displaced lesser trochanter fragment: a case report of intraoperative vascular risk in intertrochanteric fracture

  • By

  • Mei-Ren Zhang

  • Xiao Zeng

  • Kui Zhao

  • Jian-Hao Guan

  • Hai-Yun Chen

  • April 10, 2026

  • 0 min

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  • 1

    A profunda femoris vein laceration can occur due to a displaced lesser trochanteric fragment during intertrochanteric fracture surgery.

  • 2

    Preoperative imaging, such as CT, is crucial for assessing anatomical risks associated with vascular injuries in hip fractures.

  • 3

    Despite negative Doppler ultrasound results, intraoperative exploration may be necessary to confirm vascular integrity in high-risk cases.

  • 4

    The patient developed deep vein thrombosis postoperatively, which was managed with an inferior vena cava filter and anticoagulation.

  • 5

    This case emphasizes the need for awareness of venous injury as a potential complication in managing intertrochanteric fractures.

Original Source(s)

Profunda femoris vein laceration caused by a displaced lesser trochanter fragment: a case report of intraoperative vascular risk in intertrochanteric fracture

  • by Mei-Ren Zhang, Xiao Zeng, Kui Zhao, Jian-Hao Guan, Hai-Yun Chen

  • April 10, 2026

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