Pseudoaneurysm Development After Short Cephalomedullary Femoral Nailing: A Case Report
Document Type
Article
Publication Date
6-2024
Publication Title
Journal of Orthopaedic Reports
Abstract
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.
Volume
3
Issue
2
First Page
100265
Recommended Citation
Runge NE, Sanii R, Kasto J, McCall DP. Pseudoaneurysm development after short cephalomedullary femoral nailing: a case report. J Orthop Rep. 2024 Jun;3(2):100265. doi:10.1016/j.jorep.2023.100265
DOI
10.1016/j.jorep.2023.100265
