[Entrapment of the anterior tibial artery in a distal tibial fracture after intramedullary nailing].
We present a patient with a closed displaced distal tibia fracture with entrapment of the anterior tibial vessels in the fracture after tibial nailing. This complication was initially not recognised. After several debridements of the forefoot on the same side due to open metatarsal fractures and severe soft tissue injury, a free latissimus dorsi flap was used for covering the dorsum pedis. Preoperative angiography showed occlusion of the anterior tibial artery at the fracture line which was interpreted as a secondary occlusion due to an intima lesion of the vessel after injury. The entrapment in the fracture line was recognised intra-operatively during the preparation of the anterior tibial vessel.
Labler
L
L
Departement Chirurgie, Universitätsspital Zürich, Schweiz. ludwig.labler@usz.ch
Wedler
V
V
Mica
L
L
Trentz
O
O
D000368:Aged; D000714:Anastomosis, Surgical; D000792:Angiography; D016512:Ankle Injuries / Q000000981:diagnostic imaging / Q000601:surgery*; D001157:Arterial Occlusive Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D003161:Compartment Syndromes / Q000000981:diagnostic imaging / Q000601:surgery; D003646:Debridement; D018409:Foot Injuries / Q000000981:diagnostic imaging / Q000601:surgery*; D005545:Forefoot, Human / Q000098:blood supply / Q000293:injuries / Q000601:surgery; D005593:Fracture Fixation, Internal; D005594:Fracture Fixation, Intramedullary; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000601:surgery*; D012086:Reoperation; D013524:Surgical Flaps / Q000098:blood supply; D016909:Tibial Arteries / Q000293:injuries*; D013978:Tibial Fractures / Q000000981:diagnostic imaging / Q000601:surgery*