{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,30]],"date-time":"2026-03-30T14:00:11Z","timestamp":1774879211860,"version":"3.50.1"},"reference-count":9,"publisher":"FapUNIFESP (SciELO)","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. vasc. bras."],"abstract":"<jats:p>Abstract Flexible intramedullary nails are a safe, effective, and low-morbidity option for the treatment of diaphyseal femur fractures in children. They generally provide acceptable results regarding bone consolidation and clinical stabilization. However, late vascular events may occur. In this report, we describe the case of a male patient who underwent osteosynthesis with flexible nails for a femur fracture at age 9 and 5 years later developed local pain and swelling, leading to detection of a left femoral artery pseudoaneurysm. Subsequently, surgical correction with revascularization using an ipsilateral great saphenous vein was performed, with no further complications and an adequate clinical outcome. This case emphasizes the importance of long-term surveillance in orthopedic follow-up, particularly in the context of vascular injuries after surgical interventions.<\/jats:p>","DOI":"10.1590\/1677-5449.202501282","type":"journal-article","created":{"date-parts":[[2026,3,30]],"date-time":"2026-03-30T13:08:34Z","timestamp":1774876114000},"source":"Crossref","is-referenced-by-count":0,"title":["Femoral artery pseudoaneurysm as a late complication of flexible intramedullary nailing for a diaphyseal femur fracture in a child: a case report"],"prefix":"10.1590","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1781-1478","authenticated-orcid":false,"given":"Gabriel Bezerra","family":"Pereira","sequence":"first","affiliation":[{"name":"Universidade Estadual do Cear\u00e1,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-5732-4032","authenticated-orcid":false,"given":"Pedro Raphael Rocha de","family":"Sousa","sequence":"additional","affiliation":[{"name":"Hospital Instituto Dr. Jos\u00e9 Frota,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2949-4609","authenticated-orcid":false,"given":"Armando Nicodemos Lucena","family":"Felinto","sequence":"additional","affiliation":[{"name":"Hospital Instituto Dr. Jos\u00e9 Frota,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-7335-5253","authenticated-orcid":false,"given":"Mariana Almeida","family":"Sales","sequence":"additional","affiliation":[{"name":"Hospital Instituto Dr. Jos\u00e9 Frota,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jurandir Vieira","family":"Marques Junior","sequence":"additional","affiliation":[{"name":"Hospital Instituto Dr. Jos\u00e9 Frota,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9462-6850","authenticated-orcid":false,"given":"Paulo Giordano Baima","family":"Colares","sequence":"additional","affiliation":[{"name":"Hospital Instituto Dr. Jos\u00e9 Frota,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","published-online":{"date-parts":[[2026]]},"reference":[{"issue":"5","key":"ref1","doi-asserted-by":"crossref","first-page":"471","DOI":"10.1097\/BPB.0000000000000342","article-title":"Comparison between external fixation and elastic stable intramedullary nailing for the treatment of femoral shaft fractures in children younger than 8 years of age","volume":"25","author":"Andreacchio A","year":"2016","journal-title":"J Pediatr Orthop B"},{"issue":"3","key":"ref2","article-title":"Treatment of pediatric femur fractures with flexible stainless steel intramedullary nail","volume":"32","author":"Brand\u00e3o MAD","year":"2024","journal-title":"Acta Ortop Bras"},{"issue":"5","key":"ref3","first-page":"575","article-title":"Unstable femoral fractures treated with titanium elastic intramedullary nails, in children","volume":"47","author":"Soni JF","year":"2012","journal-title":"Rev Bras Ortop"},{"key":"ref4","series-title":"Treatment of pediatric diaphyseal femur fractures: evidence-based clinical practice guideline.","year":"2020"},{"issue":"4","key":"ref5","first-page":"267","article-title":"Complica\u00e7\u00f5es do uso de haste intramedular bloqueada no tratamento de fraturas de f\u00eamur","volume":"91","author":"Almeida MFP","year":"2012","journal-title":"Rev Med"},{"issue":"1","key":"ref6","first-page":"47","article-title":"Pseudoaneurisma da art\u00e9ria femoral profunda ap\u00f3s procedimentos ortop\u00e9dicos","volume":"16","author":"Sousa P","year":"2020","journal-title":"Angiol Cir Vasc"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"36","DOI":"10.1016\/j.ijscr.2015.07.001","article-title":"False aneurysm of perforating branch of the deep femoral artery: report of two cases","volume":"14","author":"Naouli H","year":"2015","journal-title":"Int J Surg Case Rep"},{"issue":"1","key":"ref8","doi-asserted-by":"crossref","first-page":"125","DOI":"10.1016\/j.rbo.2017.03.014","article-title":"Pseudoaneurisma femoral como complica\u00e7\u00e3o do tratamento cir\u00fargico de epifisi\u00f3lise proximal do f\u00eamur","volume":"53","author":"Schwartsmann CR","year":"2018","journal-title":"Rev Bras Ortop"},{"key":"ref9","doi-asserted-by":"crossref","DOI":"10.1590\/1677-5449.20190001","article-title":"Pseudoaneurysm and arteriovenous fistula of the deep femoral artery after complete rupture of the vastus medialis muscle: endovascular treatment","volume":"21","author":"Castelli Jr V","year":"2022","journal-title":"J Vasc Bras"}],"container-title":["Jornal Vascular Brasileiro"],"original-title":["Pseudoaneurisma em art\u00e9ria femoral como complica\u00e7\u00e3o tardia de osteoss\u00edntese de fratura diafis\u00e1ria de f\u00eamur em crian\u00e7a com haste intramedular flex\u00edvel: relato de caso"],"link":[{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_pdf&pid=S1677-54492026000101806&tlng=en","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,30]],"date-time":"2026-03-30T13:08:37Z","timestamp":1774876117000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S1677-54492026000101806&tlng=en"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":9,"alternative-id":["S1677-54492026000101806"],"URL":"https:\/\/doi.org\/10.1590\/1677-5449.202501282","relation":{"has-translation":[{"id-type":"doi","id":"10.1590\/1677-5449.202501281","asserted-by":"subject"}]},"ISSN":["1677-7301","1677-5449"],"issn-type":[{"value":"1677-7301","type":"electronic"},{"value":"1677-5449","type":"print"}],"subject":[],"published":{"date-parts":[[2026]]},"article-number":"e20250128"}}