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Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach

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Traumatic pseudoaneurysm following ankle trauma.

M C A M Melenhorst¹, K van der Mooren², R C van Nieuwenhuizen³

¹Departement of Radiology, VU Medical Centre, Amsterdam, The Netherlands.

BJR Case Reports

|October 27, 2018

Summary

False aneurysms after ankle inversion trauma are rare. This case highlights successful ultrasound-guided thrombin injection for treating a lateral malleolar artery false aneurysm, leading to full recovery.

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Area of Science:

Vascular Surgery
Radiology
Trauma Medicine

Background:

False aneurysms are uncommon complications following ankle inversion trauma.
Persistent, painful ankle swelling can indicate underlying vascular injury.

Observation:

A 40-year-old male presented with persistent, painful ankle swelling post-inversion trauma.
Magnetic Resonance Imaging (MRI) revealed a false aneurysm from the lateral malleolar artery, a branch of the anterior tibial artery.

Findings:

Ultrasound confirmed the presence of the false aneurysm.
Ultrasound-guided thrombin injection was employed as the treatment modality.
The patient experienced an uneventful recovery post-intervention.

Implications:

This case demonstrates the efficacy of minimally invasive treatment for rare post-traumatic false aneurysms.
Early diagnosis and targeted intervention, such as thrombin injection, can lead to favorable outcomes.
Highlights the importance of considering vascular injury in persistent ankle swelling after trauma.