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Pseudoaneurysm as a complication of ankle arthroscopy
Olubusola A Brimmo1, Selene G Parekh
1Department of Orthopaedic Surgery, St. John's Mercy Medical Center, St. Louis University, St. Louis, MO, USA.
Indian Journal of Orthopaedics
|February 19, 2010
Summary
A rare pseudoaneurysm of the anterior tibial artery occurred after ankle arthroscopy. Prompt diagnosis and treatment led to full recovery, highlighting the need for vigilance in the postoperative period.
Area of Science:
- Orthopedic Surgery
- Vascular Surgery
- Medical Complications
Background:
- Ankle arthroscopy with synovectomy is a common orthopedic procedure.
- Vascular complications, such as pseudoaneurysms, are extremely rare following this surgery.
- Standard anteromedial and anterolateral portals are typically used, with low reported risks.
Purpose of the Study:
- To report an exceptionally rare case of anterior tibial artery pseudoaneurysm after ankle arthroscopy.
- To emphasize the importance of recognizing and managing this vascular complication.
- To highlight the potential dangers of delayed or missed diagnosis.
Main Methods:
- Case report detailing a patient who developed a pseudoaneurysm post-ankle arthroscopy.
- Diagnostic workup to identify the vascular injury.
- Interventional treatment to manage the pseudoaneurysm.
Main Results:
- Successful diagnosis and treatment of an anterior tibial artery pseudoaneurysm.
- The patient experienced an uneventful recovery.
- The complication was linked to the use of standard surgical portals.
Conclusions:
- Pseudoaneurysm of the anterior tibial artery is a rare but serious complication of ankle arthroscopy.
- A high index of suspicion is crucial for prompt diagnosis in the postoperative phase.
- Timely intervention is essential to prevent severe sequelae and ensure patient recovery.
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