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[False popliteal aneurysm after tibial osteotomy: a case report]
J N Goubier1, C Laporte, G Saillant
1Service de chirurgie orthopédique, traumatologique et réparatrice de l'appareil locomoteur, GH Pitié-Salpétrière, 83, boulevard de l'Hôpital, 75013 Paris. goubjnal@club-internet.fr
Revue De Chirurgie Orthopedique Et Reparatrice De L'Appareil Moteur
|November 4, 2000
Summary
A tibial valgization osteotomy for genu varum led to a popliteal artery pseudoaneurysm in a 55-year-old man. This complication, causing arterial flow interruption, required emergency surgical repair.
Area of Science:
- Orthopedic Surgery
- Vascular Surgery
- Medical Imaging
Background:
- Degenerative genu varum often requires surgical correction, such as tibial valgization osteotomy.
- Popliteal artery pseudoaneurysms are rare but serious complications following lower limb orthopedic procedures.
Observation:
- A 55-year-old male developed a pseudoaneurysm of the popliteal artery post-tibial valgization osteotomy.
- Initial Doppler assessment revealed no arterial anomalies immediately after surgery.
- The patient presented with knee pain and popliteal fossa tension ten days postoperatively.
Findings:
- Arteriography confirmed a pseudoaneurysm of the popliteal artery.
- The pseudoaneurysm resulted in significant interruption of arterial blood flow.
- Emergency resection and suture of the pseudoaneurysm were successfully performed.
Implications:
- This case highlights the potential risk of popliteal artery pseudoaneurysm after tibial osteotomy.
- Prompt diagnosis via arteriography is crucial for managing this vascular complication.
- Surgical intervention is effective for treating pseudoaneurysms causing arterial compromise.