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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Format: | Article |
Language: | English |
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Malaysian Orthopaedic Association
2023-11-01
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Series: | Malaysian Orthopaedic Journal |
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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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format | Article |
id | doaj.art-63bef77bddd64ba2bb4093cd08b6877f |
institution | Directory Open Access Journal |
issn | 1985-2533 2232-111X |
language | English |
last_indexed | 2024-03-08T19:12:35Z |
publishDate | 2023-11-01 |
publisher | Malaysian Orthopaedic Association |
record_format | Article |
series | Malaysian Orthopaedic Journal |
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 |