title: Iatrogenic pseudoaneurysm of the popliteal artery following corrective tibial osteotomy.
abstract: Due to its anatomical location the popliteal artery is exposed to injury during surgical procedures in the region of the knee joint, in particular during high-level corrective osteotomies of the proximal tibial epiphysis. Nevertheless, posttraumatic (iatrogenic) pseudoaneurysm constitutes a very rare complication of the procedure. Only few reports of such complication have been published and they were usually connected with lateral tibial osteotomy - the accidents after medial osteotomy are seldom. The complication we report was observed in a 52-year-old female patient after corrective osteotomy of the medial portion of the proximal tibial epiphysis. The complication was diagnosed 7 days after surgery on US-examination and subsequently confirmed by emergently performed angio-CT. The patient was referred for urgent reconstructive surgery. No significant complications were observed, neither postoperatively nor during follow-up visits.
authors.affiliation: Department and Clinic of Vascular, General and Transplantation Surgery, Wroclaw Medical University, Wroclaw, Poland. fisher@arsmedica.pl
authors.forename: P
authors.initials: P
authors.lastname: Szyber
authors.forename: J
authors.initials: J
authors.lastname: Skóra
authors.forename: W
authors.initials: W
authors.lastname: Rybak
authors.forename: A
authors.initials: A
authors.lastname: Pupka
mesh_terms: D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D004838:Epiphyses / Q000601:surgery; D005260:Female; D006801:Humans; D007049:Iatrogenic Disease; D008875:Middle Aged; D010027:Osteotomy / Q000009:adverse effects*; D011150:Popliteal Artery / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D012086:Reoperation; D012501:Saphenous Vein / Q000637:transplantation; D013977:Tibia / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D057772:Vascular System Injuries / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery