Selective transarterial embolization for vascular complications after hip fracture surgery: An eleven-year…

Cohort studyJournal of clinical orthopaedics and trauma· Nov 2026

Selective transarterial embolization for vascular complications after hip fracture surgery: An eleven-year experience in a tertiary trauma center.

José Maria García López, José Antonio Guerrero Serrano, Claudia Ortega Romero … Jorge Gómez Alcaraz

Internal MedicineCohort studyTreatmentQ3IF 1.6

Vascular complications needing embolization occurred in just 0.32% of hip fracture surgeries.

Selective transarterial embolization for vascular complications after hip fracture surgery: An eleven-year experience in a tertiary trauma center.

José Maria García López … Jorge Gómez Alcaraz

Journal of clinical orthopaedics and trauma · Nov 2026

Background

Arterial injury following hip fracture surgery is an uncommon but potentially life-threatening complication.

Purpose

The aim of this study was to evaluate the clinical presentation, management, and outcomes of postoperative arterial bleeding treated with transarterial embolization after hip fracture surgery.

Methods

A retrospective study was conducted including 14 consecutive patients (11 women, 3 men) who underwent transarterial embolization for postoperative arterial bleeding after hip fracture surgery between 2013 and 2024.

n = 11 women

0.32%

Results

0.32%

vascular injury needing embolization was rare after hip fracture surgery

n = 11 women

More results

Fracture patterns included pertrochanteric (n = 9), subtrochanteric (n = 3), and intracapsular fractures (n = 2).

Seven patients (50%) were receiving anticoagulation therapy preoperatively.

Technical success was achieved in all cases, although two patients (14%) required repeat embolization.

One patient (7%) developed deep infection.

“

Conclusion · 1 of 2

Early recognition of arterial injury after hip fracture surgery is essential.

Conclusion · 2 of 2

In our series, selective transarterial embolization was successfully used to control postoperative arterial bleeding with no major procedure-related complications, suggesting it may be a safe and feasible minimally invasive treatment option in selected patients.

Selective transarterial embolization for vascular complications after hip fracture surgery: An eleven-year experience in a tertiary trauma center.

Selective transarterial embolization for vascular complications after hip fracture surgery: An eleven-year experience in a tertiary trauma center.

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