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Popliteal Artery Pseudoaneurysm after Closing Wedge High Tibial Osteotomy

INTRODUCTION: High tibial osteotomy (HTO) is an adequate procedure for the treatment of medial unicompartmental knee arthritis in the varus knee. It is technically demanding and has a significant complication rate. Although rare, vascular injury is potentially the most serious complication. CASE REP...

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Autores principales: Santos-Pereira, Ricardo, Aleixo, Catarina, Bernardes, Marco, Costa, André, Fontes-Lebre, Joaquim, Carvalho, Paulo Jorge
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Indian Orthopaedic Research Group 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6727464/
https://www.ncbi.nlm.nih.gov/pubmed/31534931
http://dx.doi.org/10.13107/jocr.2250-0685.1360
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author Santos-Pereira, Ricardo
Aleixo, Catarina
Bernardes, Marco
Costa, André
Fontes-Lebre, Joaquim
Carvalho, Paulo Jorge
author_facet Santos-Pereira, Ricardo
Aleixo, Catarina
Bernardes, Marco
Costa, André
Fontes-Lebre, Joaquim
Carvalho, Paulo Jorge
author_sort Santos-Pereira, Ricardo
collection PubMed
description INTRODUCTION: High tibial osteotomy (HTO) is an adequate procedure for the treatment of medial unicompartmental knee arthritis in the varus knee. It is technically demanding and has a significant complication rate. Although rare, vascular injury is potentially the most serious complication. CASE REPORT: We present the case of a 50-year-old male who developed a popliteal artery pseudoaneurysm needing surgical intervention following closing wedge (CWHTO). The patient presented with worsening pain and progressive neurological symptoms. The osteotomy healed normally but the neurological symptoms showed only minor improvement over the 2-year follow-up period. CONCLUSIONS: Even with proper surgical technique, CWHTO presents a small inherent risk of injury to the popliteal neurovascular structures. Prompt recognition and treatment of this injury are of paramount importance for a good long-term outcome. Further studies are necessary to determine if open wedge HTO would be a safer surgical option.
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spelling pubmed-67274642019-09-18 Popliteal Artery Pseudoaneurysm after Closing Wedge High Tibial Osteotomy Santos-Pereira, Ricardo Aleixo, Catarina Bernardes, Marco Costa, André Fontes-Lebre, Joaquim Carvalho, Paulo Jorge J Orthop Case Rep Case Report INTRODUCTION: High tibial osteotomy (HTO) is an adequate procedure for the treatment of medial unicompartmental knee arthritis in the varus knee. It is technically demanding and has a significant complication rate. Although rare, vascular injury is potentially the most serious complication. CASE REPORT: We present the case of a 50-year-old male who developed a popliteal artery pseudoaneurysm needing surgical intervention following closing wedge (CWHTO). The patient presented with worsening pain and progressive neurological symptoms. The osteotomy healed normally but the neurological symptoms showed only minor improvement over the 2-year follow-up period. CONCLUSIONS: Even with proper surgical technique, CWHTO presents a small inherent risk of injury to the popliteal neurovascular structures. Prompt recognition and treatment of this injury are of paramount importance for a good long-term outcome. Further studies are necessary to determine if open wedge HTO would be a safer surgical option. Indian Orthopaedic Research Group 2019 /pmc/articles/PMC6727464/ /pubmed/31534931 http://dx.doi.org/10.13107/jocr.2250-0685.1360 Text en Copyright: © Indian Orthopaedic Research Group http://creativecommons.org/licenses/by-nc/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Santos-Pereira, Ricardo
Aleixo, Catarina
Bernardes, Marco
Costa, André
Fontes-Lebre, Joaquim
Carvalho, Paulo Jorge
Popliteal Artery Pseudoaneurysm after Closing Wedge High Tibial Osteotomy
title Popliteal Artery Pseudoaneurysm after Closing Wedge High Tibial Osteotomy
title_full Popliteal Artery Pseudoaneurysm after Closing Wedge High Tibial Osteotomy
title_fullStr Popliteal Artery Pseudoaneurysm after Closing Wedge High Tibial Osteotomy
title_full_unstemmed Popliteal Artery Pseudoaneurysm after Closing Wedge High Tibial Osteotomy
title_short Popliteal Artery Pseudoaneurysm after Closing Wedge High Tibial Osteotomy
title_sort popliteal artery pseudoaneurysm after closing wedge high tibial osteotomy
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6727464/
https://www.ncbi.nlm.nih.gov/pubmed/31534931
http://dx.doi.org/10.13107/jocr.2250-0685.1360
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