Abstract
Introduction Iatrogenic lesions of the superficial femoral artery are a severe but infrequent complication. The internal rotation and adduction of the affected limb during fracture reduction may cause the overdrilling of the locking mechanism of the intramedullary nail to damage the arterial endothelium. Clinical case We present the case of a patient with a pertrochanteric fracture operated with a PFNA nail. The postoperative period was uneventful. Six days after discharge she returned whit pain and swelling in the thigh. An echo-Doppler was conducted, which revealed a pseudoaneurysm of the superficial femoral artery that was treated through stent exclusion. Conclusions We recommend avoiding adduction and internal rotation when locking the intramedurally nail. Diagnosis of pseudoaneurysm can be made through echo-doppler and its exclusion with a coated stent can afford good results.
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Schedule a callMore From: Revista española de cirugía ortopédica y traumatología (English edition)
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