False aneurysm of the femoral artery as a late complication of an intertrochanteric fracture

González, J. Fernández; Terriza, M. D.; Cabada, T.; García-Araujo, Carlos

doi:10.1007/bf00181868

Cited by 11 publications

(3 citation statements)

References 11 publications

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“…Pseudoaneurysm of the DFA is caused primarily by overpenetration of the drill bit or screws. 7 , 8 , 9 , 10 Pseudoaneurysm of the superficial femoral artery can also occur by drill bit or screws after closed hip nailing. Since the artery lies marginally on the medial aspect of the femur, adduction and internal rotation of the involved limb can be risky.…”

Section: Discussionmentioning

confidence: 99%

Pseudoaneurysm of the deep femoral artery caused by a guide wire following femur intertrochanteric fracture with a hip nail: A case report

Kim

Lee

Park

2017

Acta Orthopaedica et Traumatologica Turcica

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An 85-year-old woman developed severe swelling and pain in the proximal thigh after internal fixation of an intertrochanteric fracture of the femur with a hip nail. In order to identify the causes and determine the effective treatment, angiography was performed. The results of the angiography revealed a pseudoaneurysm of a branch of deep femoral artery. Endovascular embolization was used to treat the pseudoaneurysm. After reviewing all possible causes, we found a mistake in insertion of a guide wire for hip nail. Using intraoperative fluoroscopic images, we found the mal-positioned guide wire located posterior to trochanter on lateral view of hip. This case study reminds us that pseudoaneurysm can occur in a guide wire during hip nailing. Surgeons can avoid this complication with confirmation of lateral and anteroposterior view of hip.

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Section: Discussionmentioning

confidence: 99%

Pseudoaneurysm of the deep femoral artery caused by a guide wire following femur intertrochanteric fracture with a hip nail: A case report

Kim

Lee

Park

2017

Acta Orthopaedica et Traumatologica Turcica

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“…Early diagnosis is important in preventing infection, anemia, and ischemic disease. 7 It is difficult to recognize a false aneurysm after osteosynthesis of hip fractures because of nonspecific symptoms such as pain, anemia, or a large hematoma. A higher index of suspicion and greater awareness is necessary in patients with a progressive pulsatile tumor or anemia to diagnose a false aneurysm after osteosynthesis of a hip fracture.…”

Section: Discussionmentioning

confidence: 99%

False Aneurysm of the Deep Femoral Artery as a Complication of Intertrochanteric Fracture of the Hip: Options of Open and Endovascular Repairs

Kizilates

Nagesser²,

Krebbers³

et al. 2009

Perspectives in Vascular Surgery and Endovascular Therapy

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A quarter of all intertrochanteric fractures are unstable with a fractured lesser trochanter. Mostly these fractures are treated with a gamma nail fixation. A rare complication of this treatment is a false aneurysm of the femoral artery. The authors present 2 cases of a false aneurysm of the femoral artery in association with intertrochanteric fractures. Because of its nonspecific symptoms, a false aneurysm is difficult to diagnose. A computed tomography angiography or duplex should be used to confirm the diagnosis and evaluate the options for treatment. Surgery is the preferred treatment in the case of a large aneurysm, whereas endovascular repair is preferred for smaller aneurysms.

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“…Peripheral artery pseudoaneurysms as a complication of fractures are uncommon; most appear immediately after trauma or surgery [ 2 , 3 ]. Even rarer are pseudoaneurysms that occur at fracture sites following an uneventful period of months or years [ 4 , 5 ].…”

Section: Introductionmentioning

confidence: 99%

Delayed Presentation of Sciatic Nerve Palsy Due to Post-traumatic Pseudoaneurysm Following Pelvis Fracture: A Case Report

Fried¹,

Lipphardt²,

Moore³

2023

JOCR

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Introduction: Pseudoaneurysms are vascular lesions occurring after injury to a blood vessel wall. Peripheral artery pseudoaneurysms as a fracture complication are uncommon and typically appear immediately after trauma or surgery. We report a unique case of sciatic nerve palsy associated with external iliac artery pseudoaneurysm arising 20 years after pelvic trauma, presenting within the fracture site as an erosive bone lesion masquerading as a possible malignancy. To the best of our knowledge, no cases of delayed external iliac artery pseudoaneurysm involving sciatic pain have been reported. Case Report: We present a 78-year-old female who sustained an acetabular fracture with an uneventful recovery for 20 years. The patient presented post-injury with symptoms and physical examination findings consistent with sciatic nerve palsy. Computed tomography angiography and duplex imaging revealed a pseudoaneurysm of the external iliac artery. The patient was taken to the operating room for endovascular repair of the external iliac artery using a covered stent. Conclusion: This case of sciatic nerve palsy is a unique contribution to the literature concerning the specific vascular injury observed and the delayed presentation of pseudoaneurysm causing sciatic nerve palsy. Orthopedic surgeons must consider a wide differential when confronted with suspicious pelvic masses. Failure to diagnose these as a vascular etiology could prove catastrophic should the surgeon attempt an open debridement or sampling. Keywords: Pseudoaneurysm, false aneurysm, sciatic nerve palsy, pelvis fracture, bone lesion.

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False aneurysm of the femoral artery as a late complication of an intertrochanteric fracture

Cited by 11 publications

References 11 publications

Pseudoaneurysm of the deep femoral artery caused by a guide wire following femur intertrochanteric fracture with a hip nail: A case report

Pseudoaneurysm of the deep femoral artery caused by a guide wire following femur intertrochanteric fracture with a hip nail: A case report

False Aneurysm of the Deep Femoral Artery as a Complication of Intertrochanteric Fracture of the Hip: Options of Open and Endovascular Repairs

Delayed Presentation of Sciatic Nerve Palsy Due to Post-traumatic Pseudoaneurysm Following Pelvis Fracture: A Case Report

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