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An Uncommon Complication of Arteriovenous Fistula Following Intramedullary Nail Distal Locking – A Case Report

INTRODUCTION: An arterial pseudo aneurysm formation is an unusual complication following intramedullary nail distal locking screw insertion. During such surgical procedure, arterial laceration might damage the wall, allowing blood leakage into the soft- tissue surrounding. Only few records are avail...

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Autores principales: Levy, Yahav, Feldman, Guy, Weil, Yoram A, Jammal, Mahmoud
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Indian Orthopaedic Research Group 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8930300/
https://www.ncbi.nlm.nih.gov/pubmed/35415104
http://dx.doi.org/10.13107/jocr.2021.v11.i10.2482
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author Levy, Yahav
Feldman, Guy
Weil, Yoram A
Jammal, Mahmoud
author_facet Levy, Yahav
Feldman, Guy
Weil, Yoram A
Jammal, Mahmoud
author_sort Levy, Yahav
collection PubMed
description INTRODUCTION: An arterial pseudo aneurysm formation is an unusual complication following intramedullary nail distal locking screw insertion. During such surgical procedure, arterial laceration might damage the wall, allowing blood leakage into the soft- tissue surrounding. Only few records are available regarding such injuries. CASE REPORT: A 19-year-old male diagnosed with femoral shaft fracture after a trauma event, was treated using Antegrade Long Intra-Medullary Nail with distal locking screw. Following post-operative serial blood count indicating a consistent decrease in his Haemoglobin levels, a Computed Tomography angiogram was performed and showed an arteriovenous fistula of the lateral superior geniculate artery. The artery was coiled, and haemoglobin levels were stabilized again. CONCLUSION: A distal interlocking screw should be carefully placed, including blunt dissection before the drilling and screw placement. In addition, blood counts were proved essential in routine.
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spelling pubmed-89303002022-04-11 An Uncommon Complication of Arteriovenous Fistula Following Intramedullary Nail Distal Locking – A Case Report Levy, Yahav Feldman, Guy Weil, Yoram A Jammal, Mahmoud J Orthop Case Rep Case Report INTRODUCTION: An arterial pseudo aneurysm formation is an unusual complication following intramedullary nail distal locking screw insertion. During such surgical procedure, arterial laceration might damage the wall, allowing blood leakage into the soft- tissue surrounding. Only few records are available regarding such injuries. CASE REPORT: A 19-year-old male diagnosed with femoral shaft fracture after a trauma event, was treated using Antegrade Long Intra-Medullary Nail with distal locking screw. Following post-operative serial blood count indicating a consistent decrease in his Haemoglobin levels, a Computed Tomography angiogram was performed and showed an arteriovenous fistula of the lateral superior geniculate artery. The artery was coiled, and haemoglobin levels were stabilized again. CONCLUSION: A distal interlocking screw should be carefully placed, including blunt dissection before the drilling and screw placement. In addition, blood counts were proved essential in routine. Indian Orthopaedic Research Group 2021-10 2021-10 /pmc/articles/PMC8930300/ /pubmed/35415104 http://dx.doi.org/10.13107/jocr.2021.v11.i10.2482 Text en Copyright: © Indian Orthopaedic Research Group https://creativecommons.org/licenses/by-nc-sa/3.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Levy, Yahav
Feldman, Guy
Weil, Yoram A
Jammal, Mahmoud
An Uncommon Complication of Arteriovenous Fistula Following Intramedullary Nail Distal Locking – A Case Report
title An Uncommon Complication of Arteriovenous Fistula Following Intramedullary Nail Distal Locking – A Case Report
title_full An Uncommon Complication of Arteriovenous Fistula Following Intramedullary Nail Distal Locking – A Case Report
title_fullStr An Uncommon Complication of Arteriovenous Fistula Following Intramedullary Nail Distal Locking – A Case Report
title_full_unstemmed An Uncommon Complication of Arteriovenous Fistula Following Intramedullary Nail Distal Locking – A Case Report
title_short An Uncommon Complication of Arteriovenous Fistula Following Intramedullary Nail Distal Locking – A Case Report
title_sort uncommon complication of arteriovenous fistula following intramedullary nail distal locking – a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8930300/
https://www.ncbi.nlm.nih.gov/pubmed/35415104
http://dx.doi.org/10.13107/jocr.2021.v11.i10.2482
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