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Pseudoaneurysm after foot surgery
S M Mardjetko1, J P Lubicky, K N Kuo
1Shriners Hospital for Crippled Children, Chicago, Illinois 60635.
Insights
Pseudoaneurysm (PA) is a rare complication following pediatric foot surgery. Surgical ligation and excision effectively treated these PAs without compromising surgical outcomes.
Area of Science:
- Orthopedic Surgery
- Vascular Surgery
- Pediatric Surgery
Background:
- Pseudoaneurysm (PA) is an uncommon complication after pediatric foot surgery.
- Understanding its incidence and clinical presentation is crucial for timely diagnosis and management.
Observation:
- Four PAs were identified in 2,756 pediatric foot surgeries, yielding an incidence of 0.14%.
- Patients presented 2-3 months post-operatively with a pulsatile, compressible mass on the plantar medial foot.
Findings:
- Arteriography aided in surgical planning for PA intervention.
- All identified PAs were successfully treated with ligation and excision.
Implications:
- Surgical intervention for pseudoaneurysms in pediatric foot surgery is effective.
- This complication does not appear to compromise the final outcome of the primary foot deformity surgery.
Abstract:
Pseudoaneurysm (PA) is recognized as a rare complication after pediatric foot surgery. We identified the incidence, pertinent clinical features, and response to surgical intervention in PA as a complication of foot surgery. Four PAs were identified after 2,756 foot operations, an overall incidence of 0.14%. These patients typically had symptoms between 2 and 3 months after index operation with an enlarging, pulsatile, compressible mass in the plantar medial aspect of the foot. Arteriography was helpful in planning surgical intervention. Operative treatment consisted of ligation and excision of PA in all patients. Final outcome of foot deformity surgery was not compromised.