Related Experiment Video
Updated: Jun 20, 2026

Surgical Angiogenesis in Porcine Tibial Allotransplantation: A New Large Animal Bone Vascularized Composite Allotransplantation Model
Published on: August 13, 2017
Arterial occlusion caused by a non-adsorbable bone graft after open wedge tibial osteotomy
Ralf Schäfer1, Falk Mittag, Markus Wünschel
1Orthopädische Universitätsklinik Tübingen, Hoppe-Seyler-Str. 3, 72076 Tübingen, Germany. Ralf.Schaefer@med.uni-tuebingen.de
Abstract:
We report a case of a near fatal complication of an open wedge high tibial osteotomy held by a Puddu plate. CT-scan and lysis therapy revealed a compression of the popliteal artery by the implanted hydroxyapatite wedge resulting in ischaemia of the lower limb. Revision surgery was performed and the prominent part of the wedge was removed, however two toes had to be amputated due to the initial tissue damage.
Related Concept Videos
Peripheral Artery Disease V: Postoperative Nursing Management
Aneurysm III: Interprofessional Care
