title: Tibia fracture after fibula resection for distal peroneal bypass.
abstract: The lateral approach to the distal peroneal artery has been used by vascular surgeons for 25 years. No complications specifically related to this approach have previously been reported. We reviewed 18 cases of peroneal bypass for limb salvage using the lateral approach with fibula resection and found that two of these cases had ipsilateral tibia fractures within 1 year of the bypass. Eight out of 18 cases were women, and two of these eight had tibia fracture. Both women suffered from osteoporosis. We conclude that tibia fracture is a possible complication of this approach, especially in elderly women with osteoporosis.
authors.affiliation: Division of Vascular Surgery, Department of Surgery, Jefferson Medical College, Philadelphia, PA, USA. mark.kahn@mail.tju.edu
authors.forename: M B
authors.initials: MB
authors.lastname: Kahn
authors.forename: B
authors.initials: B
authors.lastname: Profeta
authors.forename: E
authors.initials: E
authors.lastname: Hume
authors.forename: R
authors.initials: R
authors.lastname: Leichter
authors.forename: R A
authors.initials: RA
authors.lastname: Carabasi
authors.forename: P J
authors.initials: PJ
authors.lastname: DiMuzio
mesh_terms: D000368:Aged; D000792:Angiography; D001157:Arterial Occlusive Diseases / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects* / Q000379:methods; D002370:Casts, Surgical; D005260:Female; D005360:Fibula / Q000098:blood supply* / Q000601:surgery*; D006801:Humans; D015994:Incidence; D007871:Leg Ulcer / Q000209:etiology*; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D015663:Osteoporosis, Postmenopausal / Q000150:complications; D010027:Osteotomy / Q000009:adverse effects* / Q000379:methods; D011138:Polytetrafluoroethylene; D012189:Retrospective Studies; D016879:Salvage Therapy / Q000009:adverse effects* / Q000379:methods; D013165:Splints; D013978:Tibial Fractures / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology* / Q000628:therapy
chemical_list: D011138:Polytetrafluoroethylene