Pseudoaneurysm of the Anterior Tibial Artery After Closed Intramedullary Nailing of a Tibial Shaft Fracture: A Case Report

2002 ◽  
Vol 37 (4) ◽  
pp. 574 ◽  
Author(s):  
Kyeong Jin Han ◽  
Ye Yeon Won ◽  
Tae Young Kim ◽  
Shin Young Khang
Keyword(s):  
Case Report ◽  
Intramedullary Nailing ◽  
Shaft Fracture ◽  
Anterior Tibial Artery ◽  
Tibial Shaft Fracture ◽  
Tibial Shaft ◽  
Tibial Artery ◽  
Anterior Tibial ◽  
Closed Intramedullary Nailing

scholarly journals Pseudoaneurysm of Anterior Tibial Artery following Tibial Nailing: A Case Report

2005 ◽  
Vol 13 (2) ◽  
pp. 186-189 ◽  
Author(s):  
D Inamdar ◽  
M Alagappan ◽  
L Shyam ◽  
S Devadoss ◽  
A Devadoss
Keyword(s):  
Intramedullary Nailing ◽  
Rare Complication ◽  
Shaft Fracture ◽  
Complete Relief ◽  
Anterior Tibial Artery ◽  
Tibial Shaft Fracture ◽  
Tibial Shaft ◽  
Proximal Fibula ◽  
Tibial Artery ◽  
Anterior Tibial

Interlocking nailing is a widely accepted and performed treatment for tibial shaft fractures. The addition of percutaneously placed transfixation screws increases the stabilisation provided by intramedullary nailing; however, the technical complexity associated with the procedure has introduced new potential complications. We report a pseudoaneurysm of the anterior tibial artery caused by a proximal interlocking screw after intramedullary nailing surgery to repair a tibial shaft fracture. The patient experienced complete relief of symptoms following removal of the nail and the screws, excision of the proximal fibula, resection of the pseudoaneurysm, and ligation of the anterior tibial artery. We recommend the oblique placement of the proximal interlocking screws to prevent this rare complication.

scholarly journals Iatrogenic Anterior Tibial Artery Pseudoaneurysm – A Rare Case Report

2021 ◽  
Vol 11 (7) ◽  
Author(s):  
Nishant D Goyal ◽  
Vinay Kumar Gautam ◽  
Vijay M Panchnadikar ◽  
Madhan Jeyaraman ◽  
Nikhil Valsangka ◽  
...  
Keyword(s):  
Case Report ◽  
Shaft Fracture ◽  
Anterior Tibial Artery ◽  
Artery Pseudoaneurysm ◽  
Tibia Shaft Fracture ◽  
Tibial Artery ◽  
Anterior Tibial ◽  
Pseudo Aneurysm ◽  
The Right ◽  
Tibia Shaft

Introduction: Interlocking tibia nail fixation for tibia shaft fracture treatment is one of the most commonest procedures performed in orthopedic trauma practices. We report one such case of a rare complication of anterior tibial artery (ATA) pseudo-aneurysm caused by the proximal coronal locking bolt performed by an unusual entry from lateral to medial side during shaft of tibia fracture fixation. Case Report: A 86- years old female sustained a road traffic accident and was diagnosed with a closed tibia shaft fracture of the right leg for which she underwent intramedullary interlocking nail IMIL nailing elsewhere. She presented to us three 3 weeks after primary surgery with persistent pain and swelling in the right leg proximally. We investigated and diagnosed her as having a pseudoaneurysm of the Anterior Tibial Artery on color Doppler and magnetic resonance imaging (MRI) angiography. The pseudoaneurysm of ATA was clipped without any complications. To avoid the rupture of the pseudoaneurysm during manipulation of nail and bolts, their positions were not changed as they were supporting the fracture well and the fracture was also not united at that time. Conclusion: Though Although interlocking nailing of tibia shaft fracture is a commonly performed procedure, it can lead to disastrous vascular complications if the procedure is not performed with utmost care. ATA injury by proximal locking bolts of the tibia nail mandates the need for reconsideration of the nail design with better screw hole positions. We recommend preferring standard AO manual instructions for proximal tibia locking bolt direction. Keywords: Pseudo-aneurysm, tibia nail, locking bolt, anterior tibial artery.

scholarly journals Reamer Breakage during Intramedullary Nailing in Tibial Shaft Fractures: A Case Report and Review of Literature

2021 ◽  
Author(s):  
Mahlisha Kazemi ◽  
Mohammadhasan Sharafi ◽  
Ramin Shayan-Moghadam
Keyword(s):  
Case Report ◽  
Surgical Technique ◽  
Intramedullary Nailing ◽  
Shaft Fracture ◽  
Tibial Shaft Fracture ◽  
Tibial Shaft ◽  
Review Of Literature ◽  
Quick Method ◽  
Standard Equipment ◽  
Tibial Shaft Fractures

Background: Interlocked intramedullary nailing is the most common treatment for closed tibial fractures. Reaming is a fundamental step in this surgical technique, and reamer breakage is a rare yet challenging complication during this operation. Case Report: A 34-year old male with a tibial shaft fracture was admitted for early closed tibial nailing. During the reaming process, the reamer broke and stuck in the medulla at the isthmus level. We extracted the broken piece by back hammering a cannulated T-handle placed on the ball tip guide pin. Conclusion: In this closed and quick method, we did not use any extra device other than standard equipment of intramedullary nailing.

Intramedullary nailing technique and its effect on union rates of tibial shaft fracture

Injury ◽  
1994 ◽  
Vol 25 (7) ◽  
pp. 461-464 ◽  
Author(s):  
K.J. O'Dwyer ◽  
R.D. Chakravarty ◽  
C.N.A. Esler
Keyword(s):  
Intramedullary Nailing ◽  
Shaft Fracture ◽  
Tibial Shaft Fracture ◽  
Tibial Shaft

Nocardia Osteomyelitis: A Rare Complication After Intramedullary Nailing of a Closed Tibial Shaft Fracture

2009 ◽  
Vol 23 (3) ◽  
pp. 232-236 ◽  
Author(s):  
Todd Vander Heiden ◽  
Philip F Stahel ◽  
Sarah Clutter ◽  
Connie Price ◽  
Steven L Peterson ◽  
...  
Keyword(s):  
Intramedullary Nailing ◽  
Rare Complication ◽  
Shaft Fracture ◽  
Tibial Shaft Fracture ◽  
Tibial Shaft

Emergency knee joint salvage utilizing a free musculofasciocutaneous flap based on the anterior tibial artery: Case report

Microsurgery ◽  
1989 ◽  
Vol 10 (4) ◽  
pp. 302-309 ◽  
Author(s):  
J. J. Comtet ◽  
Y. Saint Cast ◽  
D. Remy ◽  
G. Herzberg ◽  
A. Michel
Keyword(s):  
Case Report ◽  
Knee Joint ◽  
Anterior Tibial Artery ◽  
Tibial Artery ◽  
Anterior Tibial

Anterior tibial artery flap: anatomy and case report

1987 ◽  
Vol 40 (3) ◽  
pp. 230-235 ◽  
Author(s):  
W.A. Morrison ◽  
T.Y. Shen
Keyword(s):  
Case Report ◽  
Anterior Tibial Artery ◽  
Tibial Artery ◽  
Anterior Tibial
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