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EROSION OF FEMORAL ARTERY, SECONDARY TO PATHOLOGIC FRACTURE DUE TO OSTEOMYELITISREPORT OF A CASE IN WHICH THE COMMON FEMORAL ARTERY WAS LIGATED
JACOB KULOWSKI, M.D.;
MANUEL E. PUSITZ, M.D.
Arch Surg. 1933;26(5):836-842.
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The chief interest in reporting this case is the ligation of the common femoral artery because of secondary hemorrhage incident to the erosion of the vessel. The second feature is the presence of two pathologic fractures, one of the surgical neck of the humerus, and the other in the shaft of the femur, the latter being directly responsible for the erosion of the superficial femoral artery.
Pathologic fracture in osteomyelitis can be prevented in practically all cases treated by the Orr method primarily. Over two hundred patients have been treated by the Orr method in this clinic since 1923, with only one case of secondary pathologic fracture. This occurred in a femur which went unprotected by the usual plaster hip spica for only one day. This same patient, who had multiple lesions, completely recovered.
The possibility of secondary hemorrhage, especially of mechanical trauma incident to pathologic fracture, makes Orr's dictum
. . . [Full Text PDF of this Article]
Author Affiliations
IOWA CITY
From the Department of Orthopedic Surgery, State University of Iowa, Service of Dr. Arthur Steindler.
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