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Year : 2019  |  Volume : 53  |  Issue : 5  |  Page : 674-676

Femur lengthening in a patient with a pseudoaneurysm of the superficial femoral artery treated with covered stent

1 Department of Orthopaedic Surgery, Spine-Neurostimulation Unit University Hospital, Poitiers, France
2 Department Vascular Surgery, University Hospital, Poitiers, France
3 Department of Neurosurgery, Spine-Neurostimulation Unit Poitiers University Hospital, Poitiers, France
4 Department of Orthopaedic Surgery, Spine-Neurostimulation Unit, Institut P' CNRS UPR 3346 University Hospital, Poitiers, France

Correspondence Address:
Dr. Charles Dejean
Department of Orthopaedic Surgery, Spine-Neurostimulation Unit University Hospital, Poitiers
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ortho.IJOrtho_712_17

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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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