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Profunda femoris artery pseudoaneurysm following revision for femoral shaft fracture nonunion. | LitMetric

Profunda femoris artery pseudoaneurysm following revision for femoral shaft fracture nonunion.

World J Orthop

Federico Valli, Marco GA Teli, Marco Innocenti, Domenico Prestamburgo, Department of Orthopaedic Surgery, Civile Regional Hospital, 20025 Legnano, Italy.

Published: July 2013

AI Article Synopsis

Article Abstract

Femoral artery pseudoaneurysms (FAPs) have been described following internal fixation of intertrocantheric, subtrocantheric and intracapsular femoral neck fractures as well as core decompression of the femoral head. The diagnosis of FAP is usually delayed because of non-specific clinical features like pain, haematoma, swelling, occasional fever and unexplained anaemia. Because of the insidious onset and of the possible delayed presentation of pseudoaneurysms, orthopaedic and trauma surgeons should be aware of this complication. We report a case of Profunda Femoris arterial branch pseudoaneurysm, diagnosed in a 40-year-old male 4 wk after revision with Kuntscher intramedullary nail of a femoral shaft nonunion. The diagnosis was achieved by computed tomography angiography and the lesion was effectively managed by endovascular repair. The specific literature and suggestions for treatment are discussed in the paper.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3717250PMC
http://dx.doi.org/10.5312/wjo.v4.i3.154DOI Listing

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