ReviewEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2023
Silent iatrogenic pseudoaneurysm after intertrochanteric fracture fixation with proximal femoral nailing and cerclage wiring: case report and review of literature.
Review in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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8 citing papers in PubMed, 5 citations in OpenAlex.
- Intertrochanteric Femur Fracture in Severe Peripheral Vascular Disease Complicated by Acute Limb Ischemia and Amputation: A Case Report.Journal of orthopaedic case reports · 2026Article
- Pseudoaneurysm of the profunda femoris artery following direct anterior approach total hip arthroplasty: a report of two cases.Journal of surgical case reports · 2026Article
- Article
- Article
- Vascular Complications Following Trans-Trochanteric Fracture: Case Report and Literature Review.Reports (MDPI) · 2025Article
- [Trauma-associated vascular injuries and the vascular surgical/interventional options for vascular reconstruction].Chirurgie (Heidelberg, Germany) · 2024Review
- Use of 1 mm Cerclage Cables in Surgical Treatment of Periprosthetic Femur Fractures.Geriatric orthopaedic surgery & rehabilitation · 2024Article
- Adequate bone healing after supplementary fixation of periprosthetic total knee arthroplasty fractures using Luque cerclage wiring: a retrospective case series.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Article
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Pseudoaneurysm is a rare complication after intertrochanteric fracture fixation. Herein, we present a rare case of late development of a pseudoaneurysm with silent clinical symptoms. The case was a 91-year-old woman treated with proximal femoral nailing and cerclage wiring. Postoperatively, the patient was able to ambulate with a walker without abnormal symptoms. During the follow-ups, the radiographic images showed progressive cortical scalloping on the medial femoral shaft. Ultrasonography revealed a yin-yang sign, and a CT scan confirmed a pseudoaneurysm at the profunda femoris artery (PFA). In this case, many possible causes of pseudoaneurysm were hypothesized. We showed that the excessive displaced, long spiral pattern of an intertrochanteric fracture, which was irreducible by a closed technique, is the risk of a PFA injury. An atherosclerotic vessel was seen in preoperative radiography, indicating poor vessel elasticity which may be a risk of vessel tear during fracture reduction using multiple reduction instruments in excessive displaced fracture. Moreover, over-penetration when drilling should not be overlooked. We also discuss the predisposing factors, surgical techniques which may lead to this type of PFA injury and summarize the literature of pseudoaneurysms related to intertrochanteric fracture fixation.
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