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...

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Main Authors: Zakaria SA, Yacob NA
Format: Article
Language:English
Published: Malaysian Orthopaedic Association 2023-11-01
Series:Malaysian Orthopaedic Journal
Subjects:
Online Access:https://www.morthoj.org/2023/v17n3/pseudoaneurysm.pdf
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author Zakaria SA
Yacob NA
author_facet Zakaria SA
Yacob NA
author_sort Zakaria SA
collection DOAJ
description 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.
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spelling doaj.art-63bef77bddd64ba2bb4093cd08b6877f2023-12-27T09:48:24ZengMalaysian Orthopaedic AssociationMalaysian Orthopaedic Journal1985-25332232-111X2023-11-01173929610.5704/MOJ.2311.015Ruptured Anterior Tibial Artery Pseudoaneurysm following Ilizarov External Fixator: A Case Report Zakaria SA0Yacob NA1Department of Orthopaedics, Traumatology and Rehabilitation, International Islamic University of Malaysia (IIUM), Kuantan, Malaysia Department of Orthopaedics, Hospital Sultanah Nur Zahirah, Kuala Terengganu, MalaysiaGenuine 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. https://www.morthoj.org/2023/v17n3/pseudoaneurysm.pdfpseudoaneurysmilizarov procedurevascular injury
spellingShingle Zakaria SA
Yacob NA
Ruptured Anterior Tibial Artery Pseudoaneurysm following Ilizarov External Fixator: A Case Report
Malaysian Orthopaedic Journal
pseudoaneurysm
ilizarov procedure
vascular injury
title Ruptured Anterior Tibial Artery Pseudoaneurysm following Ilizarov External Fixator: A Case Report
title_full Ruptured Anterior Tibial Artery Pseudoaneurysm following Ilizarov External Fixator: A Case Report
title_fullStr Ruptured Anterior Tibial Artery Pseudoaneurysm following Ilizarov External Fixator: A Case Report
title_full_unstemmed Ruptured Anterior Tibial Artery Pseudoaneurysm following Ilizarov External Fixator: A Case Report
title_short Ruptured Anterior Tibial Artery Pseudoaneurysm following Ilizarov External Fixator: A Case Report
title_sort ruptured anterior tibial artery pseudoaneurysm following ilizarov external fixator a case report
topic pseudoaneurysm
ilizarov procedure
vascular injury
url https://www.morthoj.org/2023/v17n3/pseudoaneurysm.pdf
work_keys_str_mv AT zakariasa rupturedanteriortibialarterypseudoaneurysmfollowingilizarovexternalfixatoracasereport
AT yacobna rupturedanteriortibialarterypseudoaneurysmfollowingilizarovexternalfixatoracasereport