[False aneurysm of the posterior tibial artery complicating fracture of the tibia and fibula].
OBJECTIVE
Although tibia and fibula fractures are common, associated injury of the posterior tibial artery is rare. We present an unusual case of pseudoaneurysm of posterior tibial artery complicating a closed tibial and fibular fracture.


METHODS
A 21-year-old man injured his left leg while playing football.


METHODS
The diagnosis was suspected by the presence of persisting painful swelling at the fracture site. Echography, and later angiography confirmed it.


RESULTS
The patient was successfully treated with a saphenous vein interposition graft. The tibial fracture was stabilized with a Küntscher nail, and five months after surgery the fractures healed.


CONCLUSIONS
A review of the literature revealed only 11 civilian cases of pseudoaneurysm of the posterior tibial artery. The clinical signs, specific diagnosis and operative treatment are discussed.


CONCLUSIONS
Our case emphasizes that attention must be paid to the vascular complications of fractures, that may not become evident until some time after the initial injury.
Guiral
J
J
Département de chirurgie orthopédique, Hôpital Général de Ségovie, Ségovie, Espagne.
Vázquez
P
P
Ortega
M
M
D000328:Adult; D017541:Aneurysm, False / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D001265:Athletic Injuries / Q000150:complications*; D005360:Fibula / Q000293:injuries*; D005594:Fracture Fixation, Intramedullary; D005596:Fractures, Closed / Q000150:complications; D006801:Humans; D008297:Male; D012916:Soccer; D016909:Tibial Arteries; D013978:Tibial Fractures / Q000150:complications*
Faux anévrisme de l'artère tibiale postérieure compliquant une fracture des deux os de jambe.