Pseudoaneurysm development after short cephalomedullary femoral nailing: A case report
Background/case report: Pseudoaneurysms are a rare but serious complication following femoral nailing. We report a 57-year-old female with history of lower extremity post-poliomyelitis that developed a deep femoral artery pseudoaneurysm after undergoing cephalomedullary nail fixation for basicervica...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2024-06-01
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| Series: | Journal of Orthopaedic Reports |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2773157X23001376 |
| Summary: | Background/case report: Pseudoaneurysms are a rare but serious complication following femoral nailing. We report a 57-year-old female with history of lower extremity post-poliomyelitis that developed a deep femoral artery pseudoaneurysm after undergoing cephalomedullary nail fixation for basicervical femoral neck fracture. Post-operatively, she developed acute atraumatic posterior thigh pain and swelling secondary to intramuscular hematoma formation requiring I&D due to compressive sciatic nerve symptoms. Post-decompression, the symptoms recurred and a repeat CT demonstrated pseudoaneurysm of the deep femoral artery. The patient subsequently underwent coiling and embolization with resolution of her symptoms. Conclusion: Patients with a history of neuromuscular disease may be at increased risk of vascular complications after long bone intramedullary fixation secondary to aberrant anatomy. Pre-operative imaging should be thoroughly evaluated to ensure safe placement of fixation. |
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| ISSN: | 2773-157X |