Pseudoaneurisma em artéria femoral como complicação tardia de osteossíntese de fratura diafisária de fêmur em criança com haste intramedular flexível: relato de caso
Femoral artery pseudoaneurysm as a late complication of flexible intramedullary nailing for a diaphyseal femur fracture in a child: a case report
Gabriel Bezerra Pereira; Pedro Raphael Rocha de Sousa; Armando Nicodemos Lucena Felinto; Mariana Almeida Sales; Jurandir Vieira Marques Junior; Paulo Giordano Baima Colares
Resumo
Palavras-chave
Abstract
Flexible intramedullary nails are a safe, effective, and low-morbidity option for the treatment of diaphyseal femur fractures in children. They generally provide acceptable results regarding bone consolidation and clinical stabilization. However, late vascular events may occur. In this report, we describe the case of a male patient who underwent osteosynthesis with flexible nails for a femur fracture at age 9 and 5 years later developed local pain and swelling, leading to detection of a left femoral artery pseudoaneurysm. Subsequently, surgical correction with revascularization using an ipsilateral great saphenous vein was performed, with no further complications and an adequate clinical outcome. This case emphasizes the importance of long-term surveillance in orthopedic follow-up, particularly in the context of vascular injuries after surgical interventions.
Keywords
References
1 Andreacchio A, Marengo L, Canavese F, Pedretti L, Memeo A. Comparison between external fixation and elastic stable intramedullary nailing for the treatment of femoral shaft fractures in children younger than 8 years of age. J Pediatr Orthop B. 2016;25(5):471-7.
2 Brandão MAD, Arantes JES, Chueire AJFG, Carvalho G Fo. Treatment of pediatric femur fractures with flexible stainless steel intramedullary nail. Acta Ortop Bras. 2024;32(3):e267630.
3 Soni JF, Schelle G, Valenza W, Pavelec AC, Souza CDA. Unstable femoral fractures treated with titanium elastic intramedullary nails, in children. Rev Bras Ortop. 2012;47(5):575-80.
4 American Academy of Orthopaedic Surgeons. Treatment of pediatric diaphyseal femur fractures: evidence-based clinical practice guideline. Illinois: AAOS; 2020 [citado 2025 jul 6].
5 Almeida MFP, Farias TC, Lisboa JBRM. Complicações do uso de haste intramedular bloqueada no tratamento de fraturas de fêmur. Rev Med. 2012;91(4):267-71.
6 Sousa P, Nogueira C, Brandão P, Canedo A. Pseudoaneurisma da artéria femoral profunda após procedimentos ortopédicos. Angiol Cir Vasc. 2020 [citado 2025 jul 6];16(1):47-51.
7 Naouli H, Jiber H, Bouarhroum A. False aneurysm of perforating branch of the deep femoral artery: report of two cases. Int J Surg Case Rep. 2015;14:36-9.
8 Schwartsmann CR, Brunelli JPF, Silva GS, Coelho S. Pseudoaneurisma femoral como complicação do tratamento cirúrgico de epifisiólise proximal do fêmur. Rev Bras Ortop. 2018;53(1):125-7.
9 Castelli V Jr, Faustino CB, Fioranelli A, et al. Pseudoaneurysm and arteriovenous fistula of the deep femoral artery after complete rupture of the vastus medialis muscle: endovascular treatment. J Vasc Bras. 2022;21:e20190001.
Submitted date:
10/06/2025
Accepted date:
12/31/2025
Facebook
Google+
Twitter
LinkedIn
Mendeley
StumbleUpon
CiteULike
Reddit
Email