Successful outcome in posttraumatic superficial femoral artery pseudoaneurysm following distal femur fracture

Autor: Lalith Mohan, Sai Charan Vemulapalli, Chandrasekhar Patnala, Asif Hussain Khazi Syed, K. K. Kiran Kumar, A Sundeep Kund
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Journal of Orthopedics, Traumatology and Rehabilitation, Vol 15, Iss 1, Pp 109-111 (2023)
Druh dokumentu: article
ISSN: 0975-7341
DOI: 10.4103/jotr.jotr_40_22
Popis: A 60-year-old woman sustained right femur fracture and presented to us after taking native massage therapy for 6 weeks. Radiographs showed suspected posteromedial soft tissue shadow. Further imaging confirmed a rare pseudoaneurysm of the superficial femoral artery. After vascular surgery consultation, a single-stage procedure was planned. Through medial approach to distal femur, Pseudo aneurysm was haemodynamically isolated, opened and its contents evacuated. Neck of pseudo aneurysm is located and ligated. Distal femur plating (broad DCP) was done through the same exposure. Since traumatic pseudoaneurysms are rare entities, surgeons should have a high degree of suspicion for preoperative identification. It facilitates simultaneous vascular repair and fracture fixation. It avoids two-stage incisions, two incisions, intraoperative or postoperative catastrophe, and medicolegal complications. Hence, we advocate to look out for vascular injury in distal femur fractures at a delayed presentation.
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