title: Pseudoaneurysm of the Perforating Peroneal Artery After Ankle Fracture Fixation: Case Report and Review of the Literature.
abstract: Pseudoaneurysm formation around the ankle area is a very rare complication of an anatomic region that is highly exposed to trauma. A review of the published medical data revealed the rarity of the condition. Pseudoaneurysms of the perforating branch of the peroneal artery account for only 8 in the published data, with 6 (75%) cases related to sprain injury and only 2 (25%) to fracture fixation. We present a pseudoaneurysm of the perforating peroneal artery after a bimalleolar ankle fracture in a patient taking warfarin and a review of the published data. Our patient was treated successfully with thrombin embolization, and at 6 weeks after embolization, she remained completely free of symptoms.
authors.affiliation: Senior Orthopaedic Registrar, Department of Trauma and Orthopaedics, KAT General and Trauma Hospital, Kifissia, Greece. Electronic address: ilias.kosmidis@hotmail.co.uk.
authors.forename: Ilias Alexandros I
authors.initials: IA
authors.lastname: Kosmidis
authors.affiliation: Orthopaedic Surgeon, KAT General and Trauma Hospital, Kifissia, Greece.
authors.forename: Konstantinos
authors.initials: K
authors.lastname: Kourkoutas
authors.affiliation: Radiology Resident, KAT General and Trauma Hospital, Kifissia, Greece.
authors.forename: Styliani
authors.initials: S
authors.lastname: Stouki
authors.affiliation: Radiology Resident, KAT General and Trauma Hospital, Kifissia, Greece.
authors.forename: Maria
authors.initials: M
authors.lastname: Flokatoula
mesh_terms: D000368:Aged; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D064386:Ankle Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D001863:Bone Screws; D000072226:Computed Tomography Angiography / Q000379:methods; D004621:Embolization, Therapeutic / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal / Q000009:adverse effects* / Q000379:methods; D006801:Humans; D015552:Injections, Intralesional; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000628:therapy; D013917:Thrombin / Q000627:therapeutic use*; D016896:Treatment Outcome
chemical_list: D013917:Thrombin
keywords: Weber B fracture; dalteparin; duplex Doppler ultrasound; embolization; thrombin; tibia