Document Detail


Anterior tibial artery pseudoaneurysm in a patient with hemophilia: a complication of ankle arthroscopy.
MedLine Citation:
PMID:  17586449     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Arterial pseudoaneurysm formation as a complication of ankle arthroscopy is extremely rare. We present a case of anterior tibial artery pseudoaneurysm identified 10 days after ankle arthroscopy in a patient with hemophilia. The diagnosis was confirmed with a duplex ultrasound scan. The patient was referred to the vascular surgeon and underwent evacuation of the hematoma, resection of the damaged segment of the artery, and reconstruction with a reversed long saphenous vein interposition graft. The patient had an uneventful recovery after the second surgery. The prevention of this complication in patients with hemophilia is discussed, as well as diagnosis and management. Preventative measures include careful dissection while making the portals, preoperative mapping of the artery with a duplex or a handheld Doppler in patients with coagulopathy, and performance of open rather than arthroscopic surgery to excise large osteophytes.
Authors:
Rahul S Kotwal; Ashok Acharya; Declan O'Doherty
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons     Volume:  46     ISSN:  1067-2516     ISO Abbreviation:  J Foot Ankle Surg     Publication Date:    2007 Jul-Aug
Date Detail:
Created Date:  2007-06-25     Completed Date:  2007-12-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9308427     Medline TA:  J Foot Ankle Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  314-6     Citation Subset:  IM    
Affiliation:
Department of Trauma and Orthopaedics, University Hospital of Wales, Cardiff, United Kingdom. rahlktwl@aol.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Aneurysm, False / etiology*
Ankle Joint / surgery*
Arthroscopy / adverse effects*
Hemophilia A / complications*
Humans
Male
Tibial Arteries*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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