Successful Outcome in Posttraumatic Superficial Femoral Artery Pseudoaneurysm following Distal Femur Fracture

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 consultatio...

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Main Authors: Lalith Mohan, Sai Charan Vemulapalli, Chandrasekhar Patnala, Asif Hussain Khazi Syed, K. K. Kiran Kumar, A. Sundeep Kund
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-01-01
Series:Journal of Orthopedics, Traumatology and Rehabilitation
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Online Access:https://journals.lww.com/10.4103/jotr.jotr_40_22
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author Lalith Mohan
Sai Charan Vemulapalli
Chandrasekhar Patnala
Asif Hussain Khazi Syed
K. K. Kiran Kumar
A. Sundeep Kund
author_facet Lalith Mohan
Sai Charan Vemulapalli
Chandrasekhar Patnala
Asif Hussain Khazi Syed
K. K. Kiran Kumar
A. Sundeep Kund
author_sort Lalith Mohan
collection DOAJ
description 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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institution Kabale University
issn 0975-7341
2347-3746
language English
publishDate 2023-01-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Journal of Orthopedics, Traumatology and Rehabilitation
spelling doaj-art-c1be0b00b4214f45ae8f1015215c90142025-02-08T05:53:51ZengWolters Kluwer Medknow PublicationsJournal of Orthopedics, Traumatology and Rehabilitation0975-73412347-37462023-01-0115110911110.4103/jotr.jotr_40_22Successful Outcome in Posttraumatic Superficial Femoral Artery Pseudoaneurysm following Distal Femur FractureLalith MohanSai Charan VemulapalliChandrasekhar PatnalaAsif Hussain Khazi SyedK. K. Kiran KumarA. Sundeep KundA 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.https://journals.lww.com/10.4103/jotr.jotr_40_22delayed presentationposttraumaticpseudoaneurysmsuperficial femoral arterysupracondylar femur fracture
spellingShingle Lalith Mohan
Sai Charan Vemulapalli
Chandrasekhar Patnala
Asif Hussain Khazi Syed
K. K. Kiran Kumar
A. Sundeep Kund
Successful Outcome in Posttraumatic Superficial Femoral Artery Pseudoaneurysm following Distal Femur Fracture
Journal of Orthopedics, Traumatology and Rehabilitation
delayed presentation
posttraumatic
pseudoaneurysm
superficial femoral artery
supracondylar femur fracture
title Successful Outcome in Posttraumatic Superficial Femoral Artery Pseudoaneurysm following Distal Femur Fracture
title_full Successful Outcome in Posttraumatic Superficial Femoral Artery Pseudoaneurysm following Distal Femur Fracture
title_fullStr Successful Outcome in Posttraumatic Superficial Femoral Artery Pseudoaneurysm following Distal Femur Fracture
title_full_unstemmed Successful Outcome in Posttraumatic Superficial Femoral Artery Pseudoaneurysm following Distal Femur Fracture
title_short Successful Outcome in Posttraumatic Superficial Femoral Artery Pseudoaneurysm following Distal Femur Fracture
title_sort successful outcome in posttraumatic superficial femoral artery pseudoaneurysm following distal femur fracture
topic delayed presentation
posttraumatic
pseudoaneurysm
superficial femoral artery
supracondylar femur fracture
url https://journals.lww.com/10.4103/jotr.jotr_40_22
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