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1: Patient Saf Surg. 2008 Jan 14;2:1.Click here to read Click here to read Links

Femoral artery thrombosis after internal fixation of a transverse acetabular fracture in a patient with osteogenesis imperfecta type I.

Ziran NM, Johnson JL, Morgan SJ, Smith WR.

Department of Orthopaedics, Rocky Mountain Regional Trauma Center, Denver Health Medical Center, Denver, Colorado, USA. navid.ziran@dhha.org.

ABSTRACT: Osteogenesis imperfecta is a genetic disorder characterized by increased susceptibility to fractures and vascular injuries due to connective tissue fragility. In this case report, we present a patient with osteogenesis imperfecta type I who sustained a transverse fracture of the right acetabulum while transferring from bed to chair. The fracture was repaired through an ilioinguinal approach. During the surgery, an iatrogenic injury to the femoral artery and vein occurred. This intraoperative complication was salvaged by immediate vascular repair. We discuss the possible causes of iatrogenic vascular injuries in patients with osteogenesis imperfecta. Orthopaedic surgeons should be aware of this potentially devastating complication in this particular patient cohort.

PMID: 18271949 [PubMed - in process]

PMCID: PMC2262876