Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same journal

Open Pelvic Ring Injury with Extended Morel-Lavallée Lesion Complicated by Fungal Infection Necessitating Hemipelvectomy: A Case Report.

JBJS case connector·2026
Same journal

Daily Low-Dose Intra-Articular Povidone-Iodine Salvage of Refractory Fungal Total Knee Arthroplasty Infection: A Case Report.

JBJS case connector·2026
Same journal

Single-Stage Double-Level Osteotomy for Complex Cubitus Varus Involving the Humerus and Ulna: A Case Report.

JBJS case connector·2026
Same journal

A Lateral Clavicle Physeal Fracture with Posteroinferior Medial Shaft Displacement Treated by Closed Reduction: A Case Report.

JBJS case connector·2026
Same journal

Self-Reported 20-Year Outcome of Taylor Spatial Frame Correction for Distal Femoral Physeal Growth Disturbance: A Case Report.

JBJS case connector·2026
Same journal

Primary Valgus Intertrochanteric Osteotomy for a Subacute Femoral Neck Fracture in a 37-Year-Old Woman: A Case Report.

JBJS case connector·2026

Related Experiment Video

Updated: Jan 17, 2026

Imaging of the Microstructural Failure Mechanism in the Human Hip
08:43

Imaging of the Microstructural Failure Mechanism in the Human Hip

Published on: September 29, 2023

1.3K

Intravascular Contrast Leakage in Intertrochanteric Fragility Fracture: A Case Report.

Chatchanin Mayurasakorn1, Vajara Phiphobmongkol, Eakachit Sikarinkul

  • 1Orthopedic Center, Bangkok International Hospital, Thailand.

JBJS Case Connector
|January 15, 2026
PubMed
Summary

Intravascular contrast leakage occurred during hip fracture fixation using a Proximal Femoral Nail Antirotation (PFNA). Routine contrast injection is crucial to detect vascular communication and prevent cement embolism during hip surgery.

Keywords:
cement augmentationcontrast injectionhip fractureintravascular cement leakage

More Related Videos

Treatment with Locking Intramedullary Nailing for Intertrochanteric Fracture of the Femur Utilizing a New Awl with a Distal Positioner
04:41

Treatment with Locking Intramedullary Nailing for Intertrochanteric Fracture of the Femur Utilizing a New Awl with a Distal Positioner

Published on: June 6, 2025

919
A Method to Estimate Cadaveric Femur Cortical Strains During Fracture Testing Using Digital Image Correlation
09:34

A Method to Estimate Cadaveric Femur Cortical Strains During Fracture Testing Using Digital Image Correlation

Published on: September 14, 2017

7.8K

Related Experiment Videos

Last Updated: Jan 17, 2026

Imaging of the Microstructural Failure Mechanism in the Human Hip
08:43

Imaging of the Microstructural Failure Mechanism in the Human Hip

Published on: September 29, 2023

1.3K
Treatment with Locking Intramedullary Nailing for Intertrochanteric Fracture of the Femur Utilizing a New Awl with a Distal Positioner
04:41

Treatment with Locking Intramedullary Nailing for Intertrochanteric Fracture of the Femur Utilizing a New Awl with a Distal Positioner

Published on: June 6, 2025

919
A Method to Estimate Cadaveric Femur Cortical Strains During Fracture Testing Using Digital Image Correlation
09:34

A Method to Estimate Cadaveric Femur Cortical Strains During Fracture Testing Using Digital Image Correlation

Published on: September 14, 2017

7.8K

Area of Science:

  • Orthopedic surgery
  • Surgical complications
  • Geriatric fracture management

Background:

  • Osteoporosis poses a significant risk for hip fractures in the elderly.
  • Intertrochanteric fractures require surgical fixation, often involving implants like the Proximal Femoral Nail Antirotation (PFNA).
  • Pre-operative assessments are vital to ensure procedural safety and prevent complications.

Purpose of the Study:

  • To report a rare case of intravascular contrast leakage during PFNA augmentation.
  • To emphasize the importance of contrast injection in identifying vascular anomalies before cement augmentation.
  • To highlight the potential risk of cement embolism during hip fracture fixation.

Main Methods:

  • A 90-year-old female patient with an intertrochanteric fracture underwent PFNA fixation.
  • Radiopaque contrast was injected through the PFNA blade for preaugmentation assessment.
  • The procedure was immediately halted upon observing unexpected contrast leakage into the vasculature.

Main Results:

  • Unexpected intravascular contrast leakage was identified during the preaugmentation assessment.
  • The planned cement injection was successfully aborted due to the detected vascular communication.
  • The patient experienced an uneventful recovery under a specialized care pathway.

Conclusions:

  • Intravascular contrast leakage during PFNA augmentation is a rare but significant complication.
  • Routine contrast injection is essential to identify and prevent potential cement embolism.
  • This case underscores the need for vigilance and appropriate management in fragility fracture care.