Femoral Artery and Vein Injury After Cerclage Wiring of the Femur: A Case Report

Severe vascular complications and intervention following elective total hip and knee replacement: A 16-year retrospective analysis

“…Metha et al reported an unusual injury to the femoral artery and vein by a cerclage wire passed around the femoral midshaft during revision THA. 18 No such injuries were recorded in our case series. This study is limited by its retrospective nature.…”

Superficial Femoral Artery Injury Resulting From Cerclage Wiring During Revision THA

“…Our report and another [6] describe cases of vascular injury related to cerclage wire placement at the middle to distal third of the femur. Both occurred during revision surgery, which has been identified as a risk factor for vascular injury [1].…”

“…The incidence of vascular injury is between 0.16% and 0.25% [3,7]. Mehta and Finn [6] described a case in which the femoral artery was occluded after a cerclage wire was placed at the level of the midshaft of the femur. Tethering of the fascia surrounding the vessels resulted in an obstruction of blood flow.…”

Percutaneous cerclage wiring and minimally invasive plate osteosynthesis (MIPO): a percutaneous reduction technique in the treatment of Vancouver type B1 periprosthetic femoral shaft fractures

“…The cerclage tunneler and cerclage passer have to pass closely to the bone to avoid entrapment of the superWcial femoral artery and vein injury on the medial side [31]. After passing the cerclage wire around the fracture, reduction of the fracture was easily done by longitudinal traction with both slightly internal and external rotation of the leg along with a gradual twisting of the wire loops to close the bone gap.…”