title: Pseudo-aneurysm of the anterior tibial artery complicating high tibial osteotomy--a case report.
abstract: The anterior recurrent branch of the anterior tibial artery is vulnerable during high tibial osteotomy. It may be injured during subperiosteal elevation of soft tissue from the lateral tibia--necessary for visualisation of the osteotomy or for placing the fixation device; or during excision of the infero-medial aspect of the fibular head--necessary to facilitate closure of the osteotomy. Recurrent bleeding from the operation site should draw attention to the possibility of a pseudo-aneurysm. Angiography helps in making an accurate diagnosis. Ligation of the feeding vessels provides effective treatment.
authors.affiliation: Ipswich Hospital, Health Road, Suffolk, IP4 5PD, UK.
authors.forename: M R
authors.initials: MR
authors.lastname: Sawant
authors.forename: J
authors.initials: J
authors.lastname: Ireland
mesh_terms: D017541:Aneurysm, False / Q000150:complications*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010027:Osteotomy; D013977:Tibia / Q000601:surgery*; D016909:Tibial Arteries