Pseudoaneurysm of the Anterior Tibial Artery following Tibio-Talar-Calcaneum Fusion with a Retrograde Nail: A Rare Case and Literature Review

This study reports the case of an 87-year-old woman who presented with a nonresolving haematoma 13 weeks following tibiotalar arthrodesis surgery on her right ankle using a retrograde nail. This was revealed by angiography to be a pseudoaneurysm of the anterior tibial artery. The patient subsequentl...

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Main Authors: Simon Craxford, Saravana V. Karuppiah, Stephen Milner
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Case Reports in Orthopedics
Online Access:http://dx.doi.org/10.1155/2013/569586
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author Simon Craxford
Saravana V. Karuppiah
Stephen Milner
author_facet Simon Craxford
Saravana V. Karuppiah
Stephen Milner
author_sort Simon Craxford
collection DOAJ
description This study reports the case of an 87-year-old woman who presented with a nonresolving haematoma 13 weeks following tibiotalar arthrodesis surgery on her right ankle using a retrograde nail. This was revealed by angiography to be a pseudoaneurysm of the anterior tibial artery. The patient subsequently underwent endovascular stenting of the pseudoaneurysm and has had a successful recovery. This case highlights the need for awareness of both the normal arterial supply to the leg and ankle as well as the potential for anatomical variations. Arterial variation may be as high as 6.7% based on published findings from cadaveric studies. As pseudoaneurysm is a rare complication, a high index of suspicion is needed in order to avoid a missed or delayed diagnosis. We urge surgeons to keep in mind the potential for pseudoaneurysm when a patient presents with a nonresolving haematoma and arrange appropriate further investigations as needed.
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issn 2090-6749
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publishDate 2013-01-01
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series Case Reports in Orthopedics
spelling doaj-art-2e272baede3d460f852789da2754ab4d2025-02-03T05:58:28ZengWileyCase Reports in Orthopedics2090-67492090-67572013-01-01201310.1155/2013/569586569586Pseudoaneurysm of the Anterior Tibial Artery following Tibio-Talar-Calcaneum Fusion with a Retrograde Nail: A Rare Case and Literature ReviewSimon Craxford0Saravana V. Karuppiah1Stephen Milner2Department of Orthopaedics Royal Derby Hospital, Uttoxeter Road, Derby DE22 3NE, UKDepartment of Orthopaedics Royal Derby Hospital, Uttoxeter Road, Derby DE22 3NE, UKDepartment of Orthopaedics Royal Derby Hospital, Uttoxeter Road, Derby DE22 3NE, UKThis study reports the case of an 87-year-old woman who presented with a nonresolving haematoma 13 weeks following tibiotalar arthrodesis surgery on her right ankle using a retrograde nail. This was revealed by angiography to be a pseudoaneurysm of the anterior tibial artery. The patient subsequently underwent endovascular stenting of the pseudoaneurysm and has had a successful recovery. This case highlights the need for awareness of both the normal arterial supply to the leg and ankle as well as the potential for anatomical variations. Arterial variation may be as high as 6.7% based on published findings from cadaveric studies. As pseudoaneurysm is a rare complication, a high index of suspicion is needed in order to avoid a missed or delayed diagnosis. We urge surgeons to keep in mind the potential for pseudoaneurysm when a patient presents with a nonresolving haematoma and arrange appropriate further investigations as needed.http://dx.doi.org/10.1155/2013/569586
spellingShingle Simon Craxford
Saravana V. Karuppiah
Stephen Milner
Pseudoaneurysm of the Anterior Tibial Artery following Tibio-Talar-Calcaneum Fusion with a Retrograde Nail: A Rare Case and Literature Review
Case Reports in Orthopedics
title Pseudoaneurysm of the Anterior Tibial Artery following Tibio-Talar-Calcaneum Fusion with a Retrograde Nail: A Rare Case and Literature Review
title_full Pseudoaneurysm of the Anterior Tibial Artery following Tibio-Talar-Calcaneum Fusion with a Retrograde Nail: A Rare Case and Literature Review
title_fullStr Pseudoaneurysm of the Anterior Tibial Artery following Tibio-Talar-Calcaneum Fusion with a Retrograde Nail: A Rare Case and Literature Review
title_full_unstemmed Pseudoaneurysm of the Anterior Tibial Artery following Tibio-Talar-Calcaneum Fusion with a Retrograde Nail: A Rare Case and Literature Review
title_short Pseudoaneurysm of the Anterior Tibial Artery following Tibio-Talar-Calcaneum Fusion with a Retrograde Nail: A Rare Case and Literature Review
title_sort pseudoaneurysm of the anterior tibial artery following tibio talar calcaneum fusion with a retrograde nail a rare case and literature review
url http://dx.doi.org/10.1155/2013/569586
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AT saravanavkaruppiah pseudoaneurysmoftheanteriortibialarteryfollowingtibiotalarcalcaneumfusionwitharetrogradenailararecaseandliteraturereview
AT stephenmilner pseudoaneurysmoftheanteriortibialarteryfollowingtibiotalarcalcaneumfusionwitharetrogradenailararecaseandliteraturereview