False Aneurysm of the Superficial Femoral Artery Associated with Fracture of the Femur

Fallon, Graham; Thomford, Neil R.

doi:10.1177/000331977002100209

Cited by 6 publications

(4 citation statements)

References 5 publications

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“…This tissue along with the thrombus form the wall of the aneurysm and the blood enters this cavity during systole leading to an expanding pulsatile lesion with a systolic bruit. 5 There are few case reports describing femoral artery aneurysms associated with femoral shaft fractures. 5 6 Blunt arterial injury is rare and reported in 0.3% of long bone fractures.…”

Section: Discussionmentioning

confidence: 99%

“… 5 There are few case reports describing femoral artery aneurysms associated with femoral shaft fractures. 5 6 Blunt arterial injury is rare and reported in 0.3% of long bone fractures. 3 7 8 Blunt vascular injury prognosis is worse than penetrating injury and has a higher risk of amputation because the blunt injury is associated with injury to surrounding structures which include bone, soft tissue, and nerve complicating the management.…”

Section: Discussionmentioning

confidence: 99%

“…In closed femoral fractures, arterial injures are overlooked, because it is uncommon and in false aneurysms, the distal pulses being normal can be misleading, and when in doubt further imaging is recommended. 5 8 Doppler is a good diagnostic tool and if doubt exists, arteriography (arterial angiogram) is recommended. The strong indications for arteriography or surgical exploration include excessive bleeding, expanding hematoma, bruit or thrill over injured vessels, and absent pulses.…”

Section: Discussionmentioning

confidence: 99%

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Femoral Artery Injuries in Closed Femur Shaft Fractures: Case Report

et al. 2022

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Case 1 and 2 Two young male patients, sustained injury to the superficial femoral artery (SFA) following a closed femur shaft fracture. The arterial injuries were confirmed by computed tomography angiography and both underwent fracture fixation and on SFA exploration; a thrombosed arterial segment was noted at the fracture site, addressed with arteriotomy and thrombectomy to restore the vascularity. At 1-year follow-up, both patients had good union at the fracture site and a well-perfused limb. Conclusion Thorough clinical examination and appropriate diagnostic studies can diagnose these rare vascular injuries in closed fractures and with early vascular repair potentially limb-threatening complications can be prevented.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Femoral Artery Injuries in Closed Femur Shaft Fractures: Case Report

et al. 2022

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“…Pseudoaneurysms of the superficial femoral artery have been described as a rare complication of femoral fractures 123. They can be directly linked to the trauma at the origin of the fracture45 and have a serious impact on the patient's quality of life.…”

Section: Introductionmentioning

confidence: 99%

Femur Lengthening in a Patient with a Pseudoaneurysm of the Superficial Femoral Artery Treated with Covered Stent

Dejean

Desvergnes²,

Bouget

et al. 2019

IJOO

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This case report presents a 29-year-old male patient who presented an articular distal femoral fracture sustained in a road traffic accident in Benin. After the different surgical procedures, the patient presents a knee stiffness and a shortening of the left leg of 7 cm. An ablation of osteosynthesis material and a Judet procedure was done. After this surgical intervention, the patient developed pain, pulsatile swelling of the left knee. A false aneurysm of the superficial femoral artery was evidenced, and a percutaneous endovascular procedure was performed. As a result of the important leg-length discrepancy, a femoral lengthening of 6 cm was performed using intramedullary skeletal kinetic distractor nail. We show that a 6 cm femur lengthening in a patient with a femur stent is possible using intramedullary nails provided that orthopedic and vascular surgeons monitor the patient in strict clinical and paraclinical followup conditions.

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Recurrent severe haemorrhage from false aneurysm following fracture of the femur

Armour

1976

Injury

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False Aneurysm of the Superficial Femoral Artery Associated with Fracture of the Femur

Cited by 6 publications

References 5 publications

Femoral Artery Injuries in Closed Femur Shaft Fractures: Case Report

Femoral Artery Injuries in Closed Femur Shaft Fractures: Case Report

Femur Lengthening in a Patient with a Pseudoaneurysm of the Superficial Femoral Artery Treated with Covered Stent

Recurrent severe haemorrhage from false aneurysm following fracture of the femur

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