Abstract

ROYO AGUSTIN, María et al. Seudoaneurisma de la arteria femoral lateral: revisión sistemática a propósito de una complicación infrecuente en pacientes con fracturas pertrocantéricas. Rev. Asoc. Argent. Ortop. Traumatol. [online]. 2022, vol.87, n.1, pp.95-110. ISSN 1852-7434.  http://dx.doi.org/https://doi.org/10.15417/issn.1852-7434.2022.87.1.1426.

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.

Keywords : Hip fractures; pseudoaneurysm; femoral artery; case report; systematic review.

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