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Femur Lengthening in a Patient with a Pseudoaneurysm of the Superficial Femoral Artery Treated with Covered Stent

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 osteosynthesi...

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Autores principales: Dejean, Charles, Desvergnes, Mathieu, Bouget, Pierre, Rigoard, Philippe, Vendeuvre, Tanguy
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6699221/
https://www.ncbi.nlm.nih.gov/pubmed/31488939
http://dx.doi.org/10.4103/ortho.IJOrtho_712_17
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author Dejean, Charles
Desvergnes, Mathieu
Bouget, Pierre
Rigoard, Philippe
Vendeuvre, Tanguy
author_facet Dejean, Charles
Desvergnes, Mathieu
Bouget, Pierre
Rigoard, Philippe
Vendeuvre, Tanguy
author_sort Dejean, Charles
collection PubMed
description 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.
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spelling pubmed-66992212019-09-06 Femur Lengthening in a Patient with a Pseudoaneurysm of the Superficial Femoral Artery Treated with Covered Stent Dejean, Charles Desvergnes, Mathieu Bouget, Pierre Rigoard, Philippe Vendeuvre, Tanguy Indian J Orthop Case Report 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. Wolters Kluwer - Medknow 2019 /pmc/articles/PMC6699221/ /pubmed/31488939 http://dx.doi.org/10.4103/ortho.IJOrtho_712_17 Text en Copyright: © 2019 Indian Journal of Orthopaedics http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Case Report
Dejean, Charles
Desvergnes, Mathieu
Bouget, Pierre
Rigoard, Philippe
Vendeuvre, Tanguy
Femur Lengthening in a Patient with a Pseudoaneurysm of the Superficial Femoral Artery Treated with Covered Stent
title Femur Lengthening in a Patient with a Pseudoaneurysm of the Superficial Femoral Artery Treated with Covered Stent
title_full Femur Lengthening in a Patient with a Pseudoaneurysm of the Superficial Femoral Artery Treated with Covered Stent
title_fullStr Femur Lengthening in a Patient with a Pseudoaneurysm of the Superficial Femoral Artery Treated with Covered Stent
title_full_unstemmed Femur Lengthening in a Patient with a Pseudoaneurysm of the Superficial Femoral Artery Treated with Covered Stent
title_short Femur Lengthening in a Patient with a Pseudoaneurysm of the Superficial Femoral Artery Treated with Covered Stent
title_sort femur lengthening in a patient with a pseudoaneurysm of the superficial femoral artery treated with covered stent
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6699221/
https://www.ncbi.nlm.nih.gov/pubmed/31488939
http://dx.doi.org/10.4103/ortho.IJOrtho_712_17
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