Femur lengthening in a patient with a pseudoaneurysm of the superficial femoral artery treated with covered stent

Charles Dejean, Mathieu Desvergnes, Pierre Bouget, Philippe Rigoard, Tanguy VendeuvreIndian Journal of Orthopaedics 2019 53(5):674-676This 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.
Source: Indian Journal of Orthopaedics - Category: Orthopaedics Authors: Source Type: research