Aplastic Posterior Tibial Artery in the Presence of Trimalleolar Ankle Fracture Dislocation Resulting in Below-the-Knee Amputation

Bellezza, Peter Andrew; Elliott, E. T.; Conlee, Thomas D.; Clements, J. Randolph

doi:10.1053/j.jfas.2016.08.006

Cited by 4 publications

(1 citation statement)

References 15 publications

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“…Bellezza et al 18 report on an unfortunate case of an iatrogenic vascular injury in a trimalleolar ankle fracture resulting in a below-the-knee amputation because of an aplastic posterior tibial artery. They highlight the importance of a preoperative lower extremity Allen test 19 as a possible additional finding to aid in surgical planning and meticulous dissection.…”

Section: Discussionmentioning

confidence: 99%

Anomalous Posterior Tibial Artery Course—Anatomic Considerations for the Posterolateral Ankle Approach

Perugini

Passias

Pelz

et al. 2023

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Case:We report a unique anatomical case of an anomalous course of the posterior tibial artery found on dissection during the posterolateral approach to the ankle. To the best of our knowledge, no such case has been documented.Conclusion:The vascular bundle consistent with that of the posterior tibial artery and vein was encountered in the far lateral aspect of the deep posterior compartment, which suggests physicians should proceed with caution when performing the posterolateral approach to the ankle so as to avoid iatrogenic injury of this named anatomic structure.

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Section: Discussionmentioning

confidence: 99%

Anomalous Posterior Tibial Artery Course—Anatomic Considerations for the Posterolateral Ankle Approach

Perugini

Passias

Pelz

et al. 2023

JBJS Case Connector

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Letter to the Editor on “Aplastic Posterior Tibial Artery in the Presence of Trimalleolar Ankle Fracture Dislocation Resulting in Below-the-Knee Amputation”

2023

The Journal of Foot and Ankle Surgery

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Secondary below-knee amputation following open reduction and internal fixation of a closed pilon fracture

Wei

Xiang

et al. 2021

Medicine

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Rationale: Despite significant advances in surgical techniques and implants, the clinical outcome of high-energy pilon fractures remains unsatisfactory, which continues to represent numerous challenges for orthopedic trauma surgeons. Patient concerns: A 62-year-old man injured his right ankle after falling from a 3 m high place. There were no open wounds or other complications. Diagnoses: According to the X-ray and CT scans, the patient was diagnosed with pilon fracture (type AO-43-C2) and lateral malleolus fracture of the right limb. Interventions: The patient was initially treated with calcaneal traction upon admission to a primary hospital. Five days after the injury, the patient underwent open reduction and internal fixation (ORIF) of the fracture and vacuum sealing drainage (VSD) for wound closure. Outcomes: The patient presented to our hospital on the 9th day after the first ORIF operation because of critical ischemia of the affected foot and distal lower leg. Blood circulation did not improve after a series of salvage treatments, and below-knee amputation was ultimately performed. Lessons: This is a rare case of complete ischemic necrosis following ORIF surgery of a closed pilon fracture due to iatrogenic damage. Standardized treatment that strictly follows the guidelines, instructions, or expert consensus should be promoted in this kind of complicated pilon fracture.

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Aplastic Posterior Tibial Artery in the Presence of Trimalleolar Ankle Fracture Dislocation Resulting in Below-the-Knee Amputation

Cited by 4 publications

References 15 publications

Anomalous Posterior Tibial Artery Course—Anatomic Considerations for the Posterolateral Ankle Approach

Anomalous Posterior Tibial Artery Course—Anatomic Considerations for the Posterolateral Ankle Approach

Letter to the Editor on “Aplastic Posterior Tibial Artery in the Presence of Trimalleolar Ankle Fracture Dislocation Resulting in Below-the-Knee Amputation”

Secondary below-knee amputation following open reduction and internal fixation of a closed pilon fracture

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