title: Delayed pseudoaneurysm caused by distal locking screw of a femoral intramedullary nail: a case report.
abstract: Interlocked intramedullary nailing is an accepted technique in the management of closed femoral shaft fractures. If this technique is used in patients who are skeletally immature, the position of locking screws relative to soft tissues can alter with time. We present a case of an 11-year-old male who developed a delayed pseudoaneurysm 4 years after intramedullary nailing that was most likely produced by movement of the distal locking screws of his femoral nail in relation to the surrounding vascular structures.
authors.affiliation: Clinical Limb Reconstruction Fellow, Nuffield Orthopaedic Centre, Windmill Road, Headingon, Oxford OX3 7LD, United Kingdom. deepabose@yahoo.com
authors.forename: Deepa
authors.initials: D
authors.lastname: Bose
authors.forename: Jennifer
authors.initials: J
authors.lastname: Hauptfleisch
authors.forename: Martin
authors.initials: M
authors.lastname: McNally
mesh_terms: D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D002648:Child; D005264:Femoral Fractures / Q000601:surgery*; D005594:Fracture Fixation, Intramedullary / Q000009:adverse effects*; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000000981:diagnostic imaging; D014463:Ultrasonography