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Pseudoaneurysm of the Posterior Tibial Artery following Removal of Tibial Plate- A Rare Case

INTRODUCTION: Pseudoaneurysm is a rare complication reported after any surgery such as ORIF of fracture, plate removal, ankle or knee arthroscopy or arthroplasty. To our knowledge, pseudoaneurysms of the posterior tibial artery after tibial plate removal are a rare phenomenon. We report a case of a...

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Autores principales: Ghaffari, Salman, Farsavian, Hossein, Daneshpoor, Seyed Mohamad Mehdi, Shayesteh, Masoud
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Indian Orthopaedic Research Group 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5245937/
https://www.ncbi.nlm.nih.gov/pubmed/28116268
http://dx.doi.org/10.13107/jocr.2250-0685.500
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author Ghaffari, Salman
Farsavian, Hossein
Daneshpoor, Seyed Mohamad Mehdi
Shayesteh, Masoud
author_facet Ghaffari, Salman
Farsavian, Hossein
Daneshpoor, Seyed Mohamad Mehdi
Shayesteh, Masoud
author_sort Ghaffari, Salman
collection PubMed
description INTRODUCTION: Pseudoaneurysm is a rare complication reported after any surgery such as ORIF of fracture, plate removal, ankle or knee arthroscopy or arthroplasty. To our knowledge, pseudoaneurysms of the posterior tibial artery after tibial plate removal are a rare phenomenon. We report a case of a 18-year-old male patient who had pseudoaneurysm of posterior tibial artery following plate removal. CASE PRESENTATION: A 18-year-old male was referred to our outpatient clinic because of mass-like lesion in his left calf. He had a history of car accident and left isolated tibia fracture 30 months ago that was treated by open reduction and internal fixation with DCP plate. After union in radiograph, the plate was removed 7 months ago on the patient request. Four weeks after surgery, the patient had complaints of pain and swelling. Finally, pseudoaneurysm was diagnosed and was repaired in a common surgery with a vascular surgeon without any difficulty. CONCLUSION: Pseudoaneurysms of the posterior tibial artery after tibial plate removal are an extremely rare phenomenon. This complication in most cases follows penetrating injuries but it has been reported following blunt trauma. In fact, in most of these patients the diagnosis was initially missed because the large hematoma concealed the underlying pseudoaneurysm and its pulsations. Thus, a delay in the diagnosis is common in this phenomenon. Hence, the surgeon should be suspicious to this complication following plate removal when he/she is doubtful about the sign and symptoms.
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spelling pubmed-52459372017-01-23 Pseudoaneurysm of the Posterior Tibial Artery following Removal of Tibial Plate- A Rare Case Ghaffari, Salman Farsavian, Hossein Daneshpoor, Seyed Mohamad Mehdi Shayesteh, Masoud J Orthop Case Rep Case Report INTRODUCTION: Pseudoaneurysm is a rare complication reported after any surgery such as ORIF of fracture, plate removal, ankle or knee arthroscopy or arthroplasty. To our knowledge, pseudoaneurysms of the posterior tibial artery after tibial plate removal are a rare phenomenon. We report a case of a 18-year-old male patient who had pseudoaneurysm of posterior tibial artery following plate removal. CASE PRESENTATION: A 18-year-old male was referred to our outpatient clinic because of mass-like lesion in his left calf. He had a history of car accident and left isolated tibia fracture 30 months ago that was treated by open reduction and internal fixation with DCP plate. After union in radiograph, the plate was removed 7 months ago on the patient request. Four weeks after surgery, the patient had complaints of pain and swelling. Finally, pseudoaneurysm was diagnosed and was repaired in a common surgery with a vascular surgeon without any difficulty. CONCLUSION: Pseudoaneurysms of the posterior tibial artery after tibial plate removal are an extremely rare phenomenon. This complication in most cases follows penetrating injuries but it has been reported following blunt trauma. In fact, in most of these patients the diagnosis was initially missed because the large hematoma concealed the underlying pseudoaneurysm and its pulsations. Thus, a delay in the diagnosis is common in this phenomenon. Hence, the surgeon should be suspicious to this complication following plate removal when he/she is doubtful about the sign and symptoms. Indian Orthopaedic Research Group 2016 /pmc/articles/PMC5245937/ /pubmed/28116268 http://dx.doi.org/10.13107/jocr.2250-0685.500 Text en Copyright: © Indian Orthopaedic Research Group http://creativecommons.org/licenses/by-nc-sa/3.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc-sa/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Ghaffari, Salman
Farsavian, Hossein
Daneshpoor, Seyed Mohamad Mehdi
Shayesteh, Masoud
Pseudoaneurysm of the Posterior Tibial Artery following Removal of Tibial Plate- A Rare Case
title Pseudoaneurysm of the Posterior Tibial Artery following Removal of Tibial Plate- A Rare Case
title_full Pseudoaneurysm of the Posterior Tibial Artery following Removal of Tibial Plate- A Rare Case
title_fullStr Pseudoaneurysm of the Posterior Tibial Artery following Removal of Tibial Plate- A Rare Case
title_full_unstemmed Pseudoaneurysm of the Posterior Tibial Artery following Removal of Tibial Plate- A Rare Case
title_short Pseudoaneurysm of the Posterior Tibial Artery following Removal of Tibial Plate- A Rare Case
title_sort pseudoaneurysm of the posterior tibial artery following removal of tibial plate- a rare case
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5245937/
https://www.ncbi.nlm.nih.gov/pubmed/28116268
http://dx.doi.org/10.13107/jocr.2250-0685.500
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