title: Anterior tibial artery pseudoaneurysm due to interlocking bolt of tibial nail: A case report and review.
abstract: Vascular injuries associated with the tibial nailing have been reported in few case reports. We here report a unique case of anterior tibial artery (ATA) pseudoaneurysm caused by the second proximal coronal interlocking bolt. We found that the position of interlocking bolts on the nail brings them very close to the anatomical positions of arteries in leg. The reports of ATA injury by interlocking bolts highlight the need for reconsidering the nail design and screw hole positions.
authors.affiliation: All India Institute of Medical Sciences (AIIMS), Department of Orthopaedics, Jodhpur, India. Electronic address: doc.nitesh@gmail.com.
authors.forename: Nitesh
authors.initials: N
authors.lastname: Gahlot
authors.affiliation: Post Graduate Institute of Medical Education and Research (PGIMER), Department of Orthopaedics, Chandigarh, India.
authors.forename: Rajendra Kumar
authors.initials: RK
authors.lastname: Kanojia
mesh_terms: D017541:Aneurysm, False / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology; D001858:Bone Nails / Q000009:adverse effects*; D000072226:Computed Tomography Angiography / Q000379:methods; D004621:Embolization, Therapeutic / Q000379:methods*; D005594:Fracture Fixation, Intramedullary / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000175:diagnosis / Q000503:physiopathology; D016909:Tibial Arteries / Q000000981:diagnostic imaging / Q000473:pathology / Q000503:physiopathology; D013978:Tibial Fractures / Q000175:diagnosis / Q000601:surgery*; D016896:Treatment Outcome; D018608:Ultrasonography, Doppler / Q000379:methods
keywords: Anterior tibial artery; Interlocking screw; Pseudoaneurysm; Tibia nailing; Trauma; Vascular injury