Ruptured Anterior Tibial Artery Pseudoaneurysm following Ilizarov External Fixator: A Case Report

Genuine infrapopliteal aneurysms are quite rare, in contrast to pseudoaneurysms. The aetiology of pseudoaneurysms related to external fixation is attributed to various theories, including direct vascular damage due to misplaced pins or wires, overshooting or misguidance during osteotomy, distraction...

Full description

Saved in:
Bibliographic Details
Published in:Malaysian orthopaedic journal 2023-11, Vol.17 (3), p.92-96
Main Author: SA, Zakaria
Format: Article
Language:English
Subjects:
ilizarov procedure
pseudoaneurysm
vascular injury
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Genuine infrapopliteal aneurysms are quite rare, in contrast to pseudoaneurysms. The aetiology of pseudoaneurysms related to external fixation is attributed to various theories, including direct vascular damage due to misplaced pins or wires, overshooting or misguidance during osteotomy, distraction at the corticotomy site during an Ilizarov procedure, and continuous abrasion of the vessel caused by a wire inserted in close proximity to an artery. Arteriography proves valuable in documenting lesions and assessing deeper pseudoaneurysms, particularly when contemplating reconstruction; it plays a crucial role in guiding management decisions. For significant tears and symptomatic aneurysms, resection and reconstruction are the gold standard treatment.
ISSN:1985-2533
2232-111X
DOI:10.5704/MOJ.2311.015