Pseudoaneurysm of profunda femoris artery: a rare complication after intramedullary fixation for an intertrochanteric femur fracture
DOI:
https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20193845Keywords:
Pseudoaneurysm, Traction, Profunda femoris artery, CalcifiedAbstract
Intertrochanteric fracture fixation with a trochanteric femoral nail rarely leads to any vascular or neurological complications. The aim of this case report is to identify a patient with post-operative Pseudoaneurysm of profunda femoris artery and how to manage it. We report a case of 79-year-old male who developed a Pseudoaneurysm of the profunda femoris artery 3 days after intramedullary femoral nailing for a intertrochanteric femur fracture. Percutaneous embolization was performed with subsequent resolution of the symptoms. Diagnosis of vascular complications after hip surgery may be very challenging because symptoms are often nonspecific. Despite their rarity, it is important to know this type of complications to address the diagnostic pathway in the right direction and to treat them promptly.References
Ahmad F, Turner SA, Torrie P, Gibson M. Iatrogenic femoral artery pseudoaneurysms—a review of current methods of diagnosis and treatment. Clin Radiol. 2008;63(12):1310-6.
Dhal A, Chadha M, Lal H, Singh T, Tyagi S. Encounters with pseudoaneurysms in orthopaedic practice. Injury. 2001;32(10):771-8.
Dameron TB Jr. False aneurysm of femoral profundus artery resulting from internal fixation device (screw). J Bone Joint Surg Am. 1964;46:577-80.
Chan WS, Kong SW, Sun KW, Tsang PK, Chow HL. Pseudoaneurysm and intramuscular haematoma after dynamic hip screw fixation for intertrochanteric femoral fracture: a case report. J Orthop Surg (Hong Kong). 2010;18(2):244-7.
Abraham E, Pankovich AM, Jansey F. False aneurysm of the profunda femoris artery resulting from intertrochanteric fracture. A case report. J Bone Joint Surg Am. 1975;57(6):871.
Fordyce A. False aneurysm of the profunda femoris artery following nail and plate fixation of an intertrochanteric fracture. Report of a case. J Bone Joint Surg Br. 1968;50(1):141-3.
Wolfgang GL, BarnesWT, Hendricks GL. False aneurysm of the profunda femoris artery resulting from nail-plate fixation of intertrochanteric fractures. Clin Orthop Relat Res. 1974;(100):143-50.
Ebong WW. False aneurysm of the profunda femoris artery following internal fixation of an intertrochanteric femoral fractures. Injury. 1978;9(3):249-51.
Corriere MA, Guzman RJ. True and false aneurysms of the femoral artery. Semin Vasc Surg. 2005;18(4):216-23.
Barquet A, Gelink A, Giannoudis PV. Proximal femoral fractures and vascular injuries in adults: incidence, aetiology and outcomes. Injury. 2015;46(12):2297–313.
Segal D, Yaacobi E, Marom N, Feldman V, Aliev E, Palmanovich E, et al. The incidence of life-threatening iatrogenic vessel injury following closed or open reduction and internal fixation of intertrochanteric femoral fractures. International Orthop. 2017;41(9):1845-50.
Miladi M, Kedous MA, Zaraa M, Lahmar AA, Sayed W, barek MM. Pseudoaneurysm of the Profunda Femoris Artery Following Internal Fixation for Intertrochanteric Fracture: A Report of 2 Cases and Review of the Literature. Ortho Res Online J. 2019;5(2):470-1.
Yang KH, Park HW, Park SJ. Pseudoaneurysm of the superficial femoral artery after closed hip nailing with a Gamma nail: report of a case. J Orthop Trauma. 2002;16:124–2.
Regus S, Lang W. Arterial injury and pseudoaneurysm formation after lesser trochanter fracture. Int J Surg Case Rep. 2015;14:4-6.
Georgiannos D, Lampridis V, Bisbinas I. Complications following treatment of trochanteric fractures with the gamma3 nail: Is the latest version of gamma nail superior to its predecessor? Surg Res Pract. 2014;2014:3598.
