Therapeutic Embolization for Pseudoaneurysm of the Anterior Tibial Artery after Tibial Nailing.
10.4055/jkoa.2010.45.3.238
- Author:
Se Hyun CHO
1
;
Dong Hee KIM
;
Soon Taek JEONG
;
Hyung Bin PARK
;
Sun Chul HWANG
;
Tae Beom SHIN
;
Hyuck Soo SHIN
Author Information
1. Department of Orthopedic Surgery, Research Institute of Clinical Medicine, Institute of Health Sciences, Gyeongsang National University School of Medicine, Jinju, Korea. dhkim8311@yahoo.co.kr
- Publication Type:Case Report
- Keywords:
tibial fracture;
pseudoaneurysm;
interlocking intramedullary nailing;
embolization
- MeSH:
Aneurysm, False;
Embolization, Therapeutic;
Fracture Fixation, Intramedullary;
Nails;
Thrombin;
Tibial Arteries;
Tibial Fractures
- From:The Journal of the Korean Orthopaedic Association
2010;45(3):238-242
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Closed intramedullary nailing is a favorite surgical technique for tibial shaft fracture. After closed interlocking intramedullary nailing, proximal and distal locking screws are inserted for increasing rotational force and axial stability. Vascular complications associated with tibial nailing for fractures are very rare. Here, we described a case of a pseudoaneurysm of the anterior tibial artery after tibial nailing. We opted for minimally invasive treatment consisiting of thrombin injection and vascular plug insertion. Because pseudoaneurysm of the anterior tibial artery can induce severe complications, one should, when performing closed intramedullary nailing, make a quick diagnosis and start treatment right away.
