Parsons, "Pseudo-aneurysm of the
profunda femoris artery as a late complication of hip fracture in a patient with myelodysplasia," Annals of the Royal College of Surgeons of England, vol.
Pseudoaneurysm of
profunda femoris artery following internal fixation of intertrochanteric fracture: Two cases report.
Later on, various modifications have been described, one of them being its elevation based on perforators to maximize flap mobilization.[10] In this case of presentation for reconstruction of the gluteal defect following wide local excision of the MCC with 2 cm of tumor-free margins, a fasciocutaneous flap in a V-Y advancement fashion based on the perforators of the inferior gluteal and
profunda femoris artery was planned.
Damage to the
profunda femoris artery (PFA) or its perforating branches is regularly reported, probably because of their close relationship to the femur in the subtrochanteric region [12].
There was dislodgement of coil in distal
profunda femoris artery in one patient however no significant obstruction to flow was seen.
We believe that application of retractors around lesser trochanter during the surgery causes minimal damage to the arterial wall of a branch of
profunda femoris artery that leads to pseudoaneurysm development and delayed hemorrhage later on causes femoral nerve palsy.