Abstract

Delayed vascular injuries after hip arthroplasty are very rare, and most of the causes were false aneurysm, preoperative bone fragments, or postoperative trauma. We report a case of deep femoral artery injury 47 days after Austin-Moore hemiarthroplasty for an 85-year-old male with femoral neck fracture. The cause of arterial injury was an iatrogenic bone fragment during hemiarthroplasty, which has not been reported. Hematoma evacuation, removal of the bone fragment, and vascular repair were performed. The postoperative course was uneventful and the patient could ambulate with the aid of a walker at 1-year follow up.

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