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股骨干骨折后股浅动脉固定后假性动脉瘤

Postfixation pseudoaneurysm of the superficial femoral artery in femoral shaft fracture.

作者信息

Sarwar C M Shahbaz, Riaz Salman, Lukhadwala Riaz Hussain

机构信息

Department of Orthopedic Surgery, The Aga Khan University Hospital, Karachi, Pakistan.

出版信息

J Coll Physicians Surg Pak. 2004 Nov;14(11):687-8.

PMID:15530283
Abstract

This case report describes a young female child presenting with a painful, expansile swelling at the medial aspect of her right thigh which had followed an open reduction internal fixation of a closed fracture of mid-shaft of right femur. An angiogram confirmed pseudoaneurysm of the superficial femoral artery probably caused by overpenetration of the drill bit or any sharp instrument while applying dynamic compression plate. It was treated surgically by resection of the aneurysm, reconstruction with inter-positional sephanous vein graft and removal of the hard-ware.

摘要

本病例报告描述了一名年轻女童,其右大腿内侧出现疼痛性、进行性肿胀,该症状发生在右股骨干闭合性骨折切开复位内固定术后。血管造影证实为股浅动脉假性动脉瘤,可能是在应用动力加压钢板时钻头或任何尖锐器械穿透过度所致。通过手术切除动脉瘤、用大隐静脉移植进行重建并取出内固定物对其进行了治疗。

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引用本文的文献

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Missed diagnosis of femoral deep artery rupture after femoral shaft fracture: A case report.股骨干骨折后股深动脉破裂的漏诊:一例报告。
World J Clin Cases. 2020 Jul 6;8(13):2862-2869. doi: 10.12998/wjcc.v8.i13.2862.
2
Management of iatrogenic rupture of profunda femoris artery after femoral fracture fixation with stent graft implantation.股骨骨折固定术后股深动脉医源性破裂的覆膜支架植入治疗
J Tehran Heart Cent. 2010 Winter;5(1):42-4. Epub 2010 Feb 28.