Pseudoaneurysm of the Lateral Femoral Artery: A Systematic Review of a Rare Complication in Patients With Pertrochanteric Fractures

DOI: https://doi.org/10.15417/issn.1852-7434.2022.87.1.1426
Keywords: Hip fractures, pseudoaneurysm, femoral artery, case report, systematic review

Abstract

Introduction: We present a case of a lateral circumflex femoral artery pseudoaneurysm associated with pertrochanteric hip fracture. Materials and Methods: We performed a systematic review considering all cases published in the last 15 years about this pathology (n=40). Results: No statistically significant associations were found between any of the variables studied. However, there seems to be some consensus in maintaining a high clinical suspicion for early intervention, thus obtaining better outcomes. Both its etiology and location are related to the morphology of the fracture, the surgical procedure, and the osteosynthesis material. Likewise, there is a greater tendency to use CT angiography for the diagnosis and localization of the pseudoaneurysm. Conclusion: Our patient is the first reported case of spontaneous resolution. Knowing this rare complication is essential to optimize therapeutic results. This review, the most recent on the subject, is very useful in listing and highlighting the most important aspects of the management and prevention of pseudoaneurysms secondary to hip fracture.

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Author Biographies

María Royo Agustín, Orthopedic Surgery and Traumatology Service, Hospital Obispo Polanco, Teruel, Spain
Orthopedic Surgery and Traumatology Service, Hospital Obispo Polanco, Teruel, Spain
Ángel Castro Sauras, Orthopedic Surgery and Traumatology Service, Hospital Obispo Polanco, Teruel, Spain
Orthopedic Surgery and Traumatology Service, Hospital Obispo Polanco, Teruel, Spain
Alejandro César Urgel Granados, Orthopedic Surgery and Traumatology Service, Hospital Obispo Polanco, Teruel, Spain
Orthopedic Surgery and Traumatology Service, Hospital Obispo Polanco, Teruel, Spain
Jorge García Fuentes, Orthopedic Surgery and Traumatology Service, Hospital Obispo Polanco, Teruel, Spain
Orthopedic Surgery and Traumatology Service, Hospital Obispo Polanco, Teruel, Spain
Leticia Ibarra Reyes, Hospital Obispo Polanco, Teruel, España.
MÉDICO RESIDENTE DE MEDICINA INTERNA EN EL HOSPITAL OBISPO POLANCO DE TERUEL.
Miguel Ranera García, Orthopedic Surgery and Traumatology Service, Hospital Obispo Polanco, Teruel, Spain
Orthopedic Surgery and Traumatology Service, Hospital Obispo Polanco, Teruel, Spain

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Published
2022-02-14
How to Cite
Royo Agustín, M., Castro Sauras, Ángel, Urgel Granados, A. C., García Fuentes, J., Ibarra Reyes, L., & Ranera García, M. (2022). Pseudoaneurysm of the Lateral Femoral Artery: A Systematic Review of a Rare Complication in Patients With Pertrochanteric Fractures. Revista De La Asociación Argentina De Ortopedia Y Traumatología, 87(1), 95-110. https://doi.org/10.15417/issn.1852-7434.2022.87.1.1426
Issue
Vol 87 No 1 (2022)
Section
Revisión Sistemática
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