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Anterior Tibial Artery Injury Following Tibiotalocalcaneal Retrograde Intramedullary Nailing: A Case Report
Jason R Ferrel1, Richard L Davis1, Zackary W Witte2
1Department of Orthopedic Surgery, Mount Carmel Health System, 793 West State Street, Columbus, OH 43230. Jason.robert.ferrel@gmail.com.
Case:
We report the case of a patient who sustained injury to the anterior tibial artery during tibiotalocalcaneal retrograde nailing and developed an acutely ischemic foot.
Conclusion:
Vascular injury during tibiotalocalcaneal arthrodesis with retrograde nailing is a rare but serious complication. While retrograde tibiotalocalcaneal arthrodesis nailing for end-stage ankle and subtalar arthritis has shown encouraging results, a high index of suspicion for postoperative complications is necessary in patients with risk factors for poor posterior collateral circulation.
