[Anterior tibial syndrome resulting from acute arterial insufficiency]

From the experience with 11 patients the authors show that in acute patency disorders of the iliac, femoral and popliteal arteries some symptoms of the injury mainly to the muscles and sometimes to the nerves of the anterior bed of the leg--"anterior tibial syndrome"--are likely to occur. An urgent reconstructive surgical intervention upon the artery, anterior fasciotomy is of a crucial importance in the treatment of this condition. Depending on the cause of the disease embol- and thrombectomy, circular suture or autovenous plasty of the artery were performed. 6 patients recovered, 3 patients developed a considerable functional disorder of the foot and toes extensors, in 2 patients the process resulted in the development of gangrene of the extremity.