Dejean Charles, Desvergnes Mathieu, Bouget Pierre, Rigoard Philippe, Vendeuvre Tanguy
Department of Orthopaedic Surgery, Spine-Neurostimulation Unit University Hospital, Poitiers, France.
Department Vascular Surgery, University Hospital, Poitiers, France.
Indian J Orthop. 2019 Sep-Oct;53(5):674-676. doi: 10.4103/ortho.IJOrtho_712_17.
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.
本病例报告介绍了一名29岁男性患者，他在贝宁发生的一起道路交通事故中导致股骨远端关节骨折。经过不同的外科手术，患者出现膝关节僵硬以及左腿缩短7厘米。进行了内固定材料取出术和朱代手术。此次手术干预后，患者出现疼痛、左膝搏动性肿胀。证实为股浅动脉假性动脉瘤，并进行了经皮血管腔内手术。由于存在明显的腿长差异，使用髓内骨骼动力撑开钉进行了6厘米的股骨延长术。我们表明，对于装有股骨支架的患者，只要骨科和血管外科医生在严格的临床和辅助检查随访条件下对患者进行监测，使用髓内钉进行6厘米的股骨延长是可行的。
