False Aneurysm of the Posterior Tibial Artery Complicating Fracture of the Tibia and Fibula

Dreyfus, U; Fishman, Joseph

doi:10.1097/00005373-198002000-00018

Cited by 18 publications

(7 citation statements)

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“…One has to take into account that the dislocated fibula fracture as well could have had an impact on the development of the pseudoaneurysm. However, the few case reports regarding this specific complication describe the posterior tibial artery as the affected vessel rather than the anterior tibial artery [ 5 , 15 , 16 ].…”

Section: Discussionmentioning

confidence: 99%

Pseudoaneurysm of the anterior tibial artery after interlocking tibial nailing: an unexpected complication

et al. 2016

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Anterior tibial pseudoaneurysm is a rare complication after interlocking screw insertion in tibial nailing. We present the case of a 28-year-old male patient with this complication with a 6-week delay after tibial nailing of a right tibial fracture type 42-A1 of the Association for the Study of Internal Fixation (AO/ASIF) classification. On presentation to our emergency department, the patient’s complaints were solemnly intermittent pain and occasional swelling of his proximal lower leg. Deep vein thrombosis, compartment syndrome, and implant dislocation were ruled out, and the patient was discharged after his symptoms improved without further intervention. Four weeks later, the patient was readmitted for similar symptoms. A computed tomography (CT) angiography then revealed a pseudoaneurysm of the anterior tibial artery at the level of the proximal interlocking screw insertion. Aneurysmal sac excision with vessel repair was performed while reconstructing the additional dislocated proximal fibular fracture using standard AO/ASIF plating. Postoperatively, sufficient flow through the repaired vessel was documented using Doppler ultrasound and CT angiography. However, the patient sustained a temporal damage to the peroneal nerve after surgery. This case highlights the risk of a pseudoaneurysm of the anterior tibial artery after interlocking screw insertion as a rare but major complication of a routine surgical procedure. Early ultrasound diagnostics, CT angiography, or magnetic resonance (MR) angiogram should be performed to prevent the delay in diagnosis and treatment of such complications.

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Section: Discussionmentioning

confidence: 99%

Pseudoaneurysm of the anterior tibial artery after interlocking tibial nailing: an unexpected complication

et al. 2016

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“…Os PA Muito mais raros ainda são os PA da ATP, sendo que encontramos apenas 24 casos descritos na literatura (Tabela 1). A causa destes, sempre traumática, pode ser provocada por fraturas (9 dos casos relatados, 36%) 3,4,6,7,11,15,20,24 , após a utilização de cateteres de embolectomia (6 casos, 24%) 5,10,13,[21][22][23] , por lacerações (2 casos, 8%) 8,19 , não definidos (2 casos, 8%) 9 [31][32][33] .…”

Section: Discussionunclassified

Pseudo-aneurisma de artéria tibial posterior pós-tratamento de fratura de perna com fixador externo: relato de caso e revisão da literatura

Filho

Junior²,

Diniz³

et al. 2007

J. vasc. bras.

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Este trabalho descreve um caso de pseudo-aneurisma da artéria tibial posterior devido ao uso de fixador externo para tratamento de fratura dos ossos da perna (técnica de Ilizarov), bem como as técnicas utilizadas para seu tratamento. A compressão guiada por ultra-som e a injeção de trombina guiada por ultra-som foram realizadas, sem sucesso. O tratamento definitivo do pseudo-aneurisma e reconstrução arterial foi conseguido através do tratamento cirúrgico clássico, usando enxerto interposto de veia safena magna homóloga invertida. As indicações, vantagens e desvantagens das técnicas de tratamento não invasivo (compressão guiada por ultra-som e injeção de trombina guiada por ultra-som) e as possíveis causas de sua incapacidade na obliteração do pseudo-aneurisma são discutidas. Também foi realizada a revisão de casos de pseudo-aneurisma da artéria tibial posterior na literatura médica, encontrando-se apenas um caso semelhante, entre 24 publicados.

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“…A MEDLINE search of all English, German, and French literature concerning pseudoaneurysms of either the anterior or the posterior tibial artery as a complication of these fractures revealed only 15 previously documented cases. [3][4][5][6][7][8][9][10][11][12][13][14][15] In Table 1, the most relevant aspects of these 15 cases and the present case are summarized. Table 1 shows that pseudoaneurysms can quickly show clinical symptoms or be rather indolent and present in a delayed fashion.…”

Section: Discussionmentioning

confidence: 99%

Thrombotic Resolution of a Traumatic Pseudoaneurysm of the Anterior Tibial Artery after External Compression

P¹,

Steenvoorde²,

Jf³

et al. 2003

The Journal of Trauma: Injury, Infection, and Critical Care

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False Aneurysm of the Posterior Tibial Artery Complicating Fracture of the Tibia and Fibula

Cited by 18 publications

References 0 publications

Pseudoaneurysm of the anterior tibial artery after interlocking tibial nailing: an unexpected complication

Pseudoaneurysm of the anterior tibial artery after interlocking tibial nailing: an unexpected complication

Pseudo-aneurisma de artéria tibial posterior pós-tratamento de fratura de perna com fixador externo: relato de caso e revisão da literatura

Thrombotic Resolution of a Traumatic Pseudoaneurysm of the Anterior Tibial Artery after External Compression

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