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A false aneurysm complicating a subcutaneous Achilles tendon lengthening
T Mulier1, G Molenaers, G Fabry
1Orthopaedic Department, University Hospital Pellenberg, K. U. Leuven, Belgium.
Journal of Pediatric Orthopedics. Part B
|January 1, 1995
Summary
Subcutaneous lengthening of the Achilles tendon is a common procedure. A rare but severe complication, a false aneurysm from posterior tibial artery injury, occurred in a cerebral palsy patient.
Area of Science:
- Orthopedic Surgery
- Vascular Complications
- Pediatric Orthopedics
Background:
- Subcutaneous lengthening of the Achilles tendon is a standard surgical procedure.
- This technique is frequently employed for conditions like cerebral palsy.
- The procedure is generally considered safe and reliable.
Observation:
- A 13-year-old patient with cerebral palsy underwent subcutaneous Achilles tendon lengthening.
- Six weeks post-operatively, the patient developed a false aneurysm.
- The aneurysm was attributed to an intraoperative lesion of the posterior tibial artery.
Findings:
- The severe complication involved a false aneurysm formation.
- Surgical intervention included ligating the posterior tibial artery and draining the aneurysm.
- The patient experienced an uneventful recovery following the corrective procedures.
Implications:
- This case highlights a rare but serious complication of Achilles tendon lengthening.
- Vascular injury, specifically to the posterior tibial artery, is a potential risk.
- Surgeons must remain vigilant regarding possible complications even with routine procedures.