Ruptured Anterior Tibial Artery Pseudoaneurysm following Ilizarov External Fixator: A Case Report
https://doi.org/10.5704/MOJ.2311.015
- Author:
Zakaria SA
1
;
Yacob NA
2
Author Information
1. Department of Orthopaedics, Traumatology and Rehabilitation, International Islamic University of Malaysia (IIUM), Kuantan, Malaysia
2. Department of Orthopaedics, Hospital Sultanah Nur Zahirah, Kuala Terengganu, Malaysia
- Publication Type:Case Reports
- Keywords:
pseudoaneurysm, Ilizarov procedure, vascular injury
- From:Malaysian Orthopaedic Journal
2023;17(No.3):92-96
- CountryMalaysia
- Language:English
-
Abstract:
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.
- Full text:16.2023my1340.pdf
