Periprosthetic proximal medial femoral cortical destruction caused by a femoral arterial pseudoaneurysm

Uğur Tiftikçi, Sancar Serbest Department of Orthopaedics and Traumatology, Faculty of Medicine, Kırıkkale University, Kırıkkale, Turkey Abstract: A femoral artery aneurysm is a very rare complication of hip surgery treatment. In this presentation, we report a rare case of bone destructi...

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Autores principales:	Tiftikçi U, Serbest S
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2015
Materias:	Femoral Artery Aneurysm Arthroplasty Bone Destruction Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/e647b3cb34fd45f38977a030d584ad65
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spelling	oai:doaj.org-article:e647b3cb34fd45f38977a030d584ad652021-12-02T08:40:52ZPeriprosthetic proximal medial femoral cortical destruction caused by a femoral arterial pseudoaneurysm1178-1998https://doaj.org/article/e647b3cb34fd45f38977a030d584ad652015-12-01T00:00:00Zhttps://www.dovepress.com/periprosthetic-proximal-medial-femoral-cortical-destruction-caused-by--peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Uğur Tiftikçi, Sancar Serbest Department of Orthopaedics and Traumatology, Faculty of Medicine, Kırıkkale University, Kırıkkale, Turkey Abstract: A femoral artery aneurysm is a very rare complication of hip surgery treatment. In this presentation, we report a rare case of bone destruction caused by the femoral artery aneurysm after a hip hemiarthroplasty operation as a late stage complication. A 77-year-old male patient presented with swelling and pain in the hip without any signs of ischemia. X-ray showed a 7 cm bone destruction in the medial cortex of the proximal femur. After ultrasound imaging, a femoral artery aneurysm was diagnosed. The patient was operated on by vascular surgeons, and a large amount of organized hematoma with artery aneurysm was removed. The diagnosis of femoral aneurysm after hip surgery treatment can be difficult. Femoral aneurysm is rare and usually secondary to trauma, infection, or iatrogenic injury. We assumed that this case occurred during the hemiarthroplasty operation, caused by a compressing effect to the bone causing destruction. The patient was followed for 2 years, during which time the preoperative symptoms reduced dramatically and Harris Hip Score improved. After a hip arthroplasty operation, it must be kept in mind that a femoral arterial aneurysm can cause persistent symptoms. This case illustrates the importance of considering a pseudoaneurysm as a possible cause of periprosthetic osteolysis, particularly if rapid progressive growth has occurred. If this vascular injury had not been correctly diagnosed, the method of treatment could have been much different, probably with catastrophic consequences. Keywords: femoral artery aneurysm, arthroplasty, bone, osteolysisTiftikçi USerbest SDove Medical PressarticleFemoral Artery AneurysmArthroplastyBone DestructionGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 10, Pp 1967-1970 (2015)
institution	DOAJ
collection	DOAJ
language	EN
topic	Femoral Artery Aneurysm Arthroplasty Bone Destruction Geriatrics RC952-954.6
spellingShingle	Femoral Artery Aneurysm Arthroplasty Bone Destruction Geriatrics RC952-954.6 Tiftikçi U Serbest S Periprosthetic proximal medial femoral cortical destruction caused by a femoral arterial pseudoaneurysm
description	Uğur Tiftikçi, Sancar Serbest Department of Orthopaedics and Traumatology, Faculty of Medicine, Kırıkkale University, Kırıkkale, Turkey Abstract: A femoral artery aneurysm is a very rare complication of hip surgery treatment. In this presentation, we report a rare case of bone destruction caused by the femoral artery aneurysm after a hip hemiarthroplasty operation as a late stage complication. A 77-year-old male patient presented with swelling and pain in the hip without any signs of ischemia. X-ray showed a 7 cm bone destruction in the medial cortex of the proximal femur. After ultrasound imaging, a femoral artery aneurysm was diagnosed. The patient was operated on by vascular surgeons, and a large amount of organized hematoma with artery aneurysm was removed. The diagnosis of femoral aneurysm after hip surgery treatment can be difficult. Femoral aneurysm is rare and usually secondary to trauma, infection, or iatrogenic injury. We assumed that this case occurred during the hemiarthroplasty operation, caused by a compressing effect to the bone causing destruction. The patient was followed for 2 years, during which time the preoperative symptoms reduced dramatically and Harris Hip Score improved. After a hip arthroplasty operation, it must be kept in mind that a femoral arterial aneurysm can cause persistent symptoms. This case illustrates the importance of considering a pseudoaneurysm as a possible cause of periprosthetic osteolysis, particularly if rapid progressive growth has occurred. If this vascular injury had not been correctly diagnosed, the method of treatment could have been much different, probably with catastrophic consequences. Keywords: femoral artery aneurysm, arthroplasty, bone, osteolysis
format	article
author	Tiftikçi U Serbest S
author_facet	Tiftikçi U Serbest S
author_sort	Tiftikçi U
title	Periprosthetic proximal medial femoral cortical destruction caused by a femoral arterial pseudoaneurysm
title_short	Periprosthetic proximal medial femoral cortical destruction caused by a femoral arterial pseudoaneurysm
title_full	Periprosthetic proximal medial femoral cortical destruction caused by a femoral arterial pseudoaneurysm
title_fullStr	Periprosthetic proximal medial femoral cortical destruction caused by a femoral arterial pseudoaneurysm
title_full_unstemmed	Periprosthetic proximal medial femoral cortical destruction caused by a femoral arterial pseudoaneurysm
title_sort	periprosthetic proximal medial femoral cortical destruction caused by a femoral arterial pseudoaneurysm
publisher	Dove Medical Press
publishDate	2015
url	https://doaj.org/article/e647b3cb34fd45f38977a030d584ad65
work_keys_str_mv	AT tiftikciu periprostheticproximalmedialfemoralcorticaldestructioncausedbyafemoralarterialpseudoaneurysm AT serbests periprostheticproximalmedialfemoralcorticaldestructioncausedbyafemoralarterialpseudoaneurysm
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Periprosthetic proximal medial femoral cortical destruction caused by a femoral arterial pseudoaneurysm

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