Vascular injuries following intertrochanteric fracture have been sporadically reported. Despite its rare occurrence, this complication can be potentially life and limb threatening. The authors report an unusual presentation of false aneurysm of profunda femoris artery following an intertrochanteric fracture with marked displacement of lesser trochanter fragment. The patient presented with thigh swelling and unexplainable dropped hematocrit. Surgical exploration and vascular repair were done. It is essential for the surgeon to be aware of possible associated vascular injuries in intertrochanteric fracture, particularly in fracture with lesser trochanter fragment.

T he patella plays an important biomechanical role in knee function. Patella injuries constitute up to 1-2% of all fractures, with 70-90% of these having a transverse fracture pattern. 1-5 Patella fractures may result in discontinuity of extensor mechanism and potential patellofemoral (PF) joint incongruity. 6 As a consequence, effective treatment strategy of patella fractures is essential. For displaced transverse fracture of the patella, the most commonly used technique is modified tension-band wiring. 3, 7-14 The Arbeitsgemeinschaft für Osteosynthesefragen (AO) recommends 15 a modified tension band wiring involving two parallel Kirschner wires and a stainless-steel figure-of-eight wire loop. Nonetheless, various complications have been associated with metal implants in this configuration in 18-50% of patients. 12, 16-26 Symptomatic hardware is the most commonly reported complication following fixation of a patellar fracture. 12, 16, 17, 25 Lazaro et al., 26 reported 11of 30 (37%) patients with patellar fracture requiring removal of symptomatic implants. Wire breakage and K-wire migration were also reported by several authors. 20-24 Other common complications include fixation failure, infection, delayed or non-union, and arthrofibrosis. 12, 19, 20

The objective of this study is to compare articular exposure of olecranon osteotomy approach and the triceps reflecting anconeus pedicle approach of distal humerus.