False aneurysm at the origin of the anterior tibial artery after opening wedge osteotomy.
We report the case of a false aneurysm at the origin of the anterior tibial artery complicating upper tibial osteotomy. The proximally located lesion compressed the posterior tibial nerve, and despite successful decompression, the patient suffers from probably irreversible neurologic after-effects. Even though it is rare, this complication must be considered when faced with leg pain consecutive to upper tibial osteotomy without deep venous thrombosis.
Bartoli
Michel A
MA
Faculté de médecine de Marseille, Université de la Méditerranée Assistance publique hopitaux de Marseille-Hôpital de la Timone, Service de chirurgie vasculaire, Marseille, France. michel.bartoli@ap-hm.fr
Lerussi
Gilles B
GB
Gulino
Roberto
R
Schroeder
Marc
M
Branchereau
Alain
A
D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D019299:Decompression, Surgical; D006801:Humans; D008297:Male; D008875:Middle Aged; D009408:Nerve Compression Syndromes / Q000209:etiology; D010027:Osteotomy / Q000009:adverse effects*; D010146:Pain / Q000209:etiology; D012501:Saphenous Vein / Q000637:transplantation; D016909:Tibial Arteries / Q000000981:diagnostic imaging / Q000601:surgery; D020429:Tibial Neuropathy / Q000209:etiology; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome