1. Pseudoaneurysm of the superficial femoral artery after retrograde intramedullary nailing for a supracondylar femoral fracture
- Author
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Toshiro Ito, Yoshinori Terashima, Kota Watanabe, Akira Hirano, Makoto Emori, Tomoaki Kamiya, Ryosuke Hirota, and Toshihiko Yamashita
- Subjects
medicine.medical_specialty ,medicine.medical_treatment ,Thigh ,Risk Assessment ,law.invention ,Intramedullary rod ,Pseudoaneurysm ,Postoperative Complications ,law ,medicine ,Humans ,cardiovascular diseases ,Right Thigh ,Reduction (orthopedic surgery) ,Surgical repair ,Osteosynthesis ,business.industry ,General Medicine ,Femoral fracture ,Middle Aged ,medicine.disease ,Surgery ,Fracture Fixation, Intramedullary ,Online Case report ,Femoral Artery ,medicine.anatomical_structure ,Treatment Outcome ,cardiovascular system ,Female ,Radiology ,business ,Tomography, X-Ray Computed ,Femoral Fractures ,Vascular Surgical Procedures ,Aneurysm, False ,Follow-Up Studies - Abstract
Vascular complications of distal femoral fractures are rare but can have disastrous consequences if not recognised and treated promptly. We present the case of a 55-year-old woman who developed a pseudoaneurysm of the superficial femoral artery after osteosynthesis to repair a supracondylar femoral fracture. Eight weeks after surgery, swelling of the right thigh persisted and was accompanied by severe pain. Enhanced computed tomography revealed a pseudoaneurysm in the medial aspect of the affected thigh. Open surgical repair was performed by direct arterial suture. Although the true aetiology of the development of the pseudoaneurysm is unknown, a bony fragment from the reduction manoeuvre may have damaged the adventitia of the superficial femoral artery. In cases of continuous thigh swelling after osteosynthesis to repair a supracondylar femoral fracture, a diagnosis of pseudoaneurysm should be considered and treatment should be initiated immediately.
- Published
- 2014