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 |
| _version_ | 1797450891841765376 |
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| author | Nicholas E. Runge Ryan Sanii Johnny Kasto Daniel P. McCall |
| author_facet | Nicholas E. Runge Ryan Sanii Johnny Kasto Daniel P. McCall |
| author_sort | Nicholas E. Runge |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-03-09T14:46:05Z |
| format | Article |
| id | doaj.art-104d3939afeb4c81bf3a223455f4a511 |
| institution | Directory Open Access Journal |
| issn | 2773-157X |
| language | English |
| last_indexed | 2024-03-09T14:46:05Z |
| publishDate | 2024-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Orthopaedic Reports |
| spelling | doaj.art-104d3939afeb4c81bf3a223455f4a5112023-11-27T04:15:20ZengElsevierJournal of Orthopaedic Reports2773-157X2024-06-0132100265Pseudoaneurysm development after short cephalomedullary femoral nailing: A case reportNicholas E. Runge0Ryan Sanii1Johnny Kasto2Daniel P. McCall3Department of Orthopedic Surgery, Corewell Health, Farmington Hills, MI, United States; Department of Orthopedic Surgery, Corewell Health, Dearborn, MI, United StatesMichigan State University College of Human Medicine, Grand Rapids, MI, United StatesDepartment of Orthopedic Surgery, Henry Ford Health, Detroit, MI, United StatesDepartment of Orthopedic Surgery, Corewell Health, Farmington Hills, MI, United States; Department of Orthopedic Surgery, Corewell Health, Dearborn, MI, United States; Corresponding author. Department of Orthopedic Surgery, Corewell Health, 28050 Grand River Suite #207, Farmington Hills, MI, 48336 United StatesBackground/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.http://www.sciencedirect.com/science/article/pii/S2773157X23001376 |
| spellingShingle | Nicholas E. Runge Ryan Sanii Johnny Kasto Daniel P. McCall Pseudoaneurysm development after short cephalomedullary femoral nailing: A case report Journal of Orthopaedic Reports |
| title | Pseudoaneurysm development after short cephalomedullary femoral nailing: A case report |
| title_full | Pseudoaneurysm development after short cephalomedullary femoral nailing: A case report |
| title_fullStr | Pseudoaneurysm development after short cephalomedullary femoral nailing: A case report |
| title_full_unstemmed | Pseudoaneurysm development after short cephalomedullary femoral nailing: A case report |
| title_short | Pseudoaneurysm development after short cephalomedullary femoral nailing: A case report |
| title_sort | pseudoaneurysm development after short cephalomedullary femoral nailing a case report |
| url | http://www.sciencedirect.com/science/article/pii/S2773157X23001376 |
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