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Arteriovenous fistulae complicating orthopaedic procedures
A S Ward1, N J Carty, N A O'Rourke
1Department of Surgery, North Hampshire Hospital Trust, Basingstoke, United Kingdom.
The Australian and New Zealand Journal of Surgery
|December 1, 1995
Summary
Arteriovenous fistulae are rare complications of orthopedic surgery. This case report details a fistula after bone graft for a tibial fracture, reviewing its causes, diagnosis, and treatment.
Area of Science:
- Orthopaedic Surgery
- Vascular Surgery
- Trauma Management
Background:
- Arterial injuries are infrequent complications in orthopaedic procedures.
- Arteriovenous fistulae (AVF) represent a specific, uncommon type of vascular injury.
- Post-operative AVF can lead to significant morbidity if not promptly identified and managed.
Observation:
- A 75-year-old patient developed an arteriovenous fistula.
- The fistula occurred subsequent to a bone graft procedure for a non-union of the tibia.
- The patient's presentation and diagnostic workup are detailed.
Findings:
- The case highlights the potential for vascular complications even with routine orthopaedic interventions.
- Diagnostic modalities for identifying AVF post-orthopaedically are reviewed.
- Management strategies for post-traumatic AVF are discussed in the context of the presented case.
Implications:
- Early recognition and appropriate management of AVF are crucial for optimal patient outcomes.
- Understanding the aetiology of AVF in orthopaedic settings can improve preventative strategies.
- This case contributes to the literature on managing uncommon vascular injuries in orthopaedic patients.