Pseudoaneurysm of the Peroneal Artery After Ankle Arthrodesis Treated by Endovascular Coil Embolization

Abstract

Case:Pseudoaneurysms of the peroneal artery around the ankle joint have rarely been reported. We present the case of a 64-year-old man with a pseudoaneurysm of the anterior perforating branch of the peroneal artery associated with a screw inserted from the anterolateral distal tibia during ankle arthrodesis. Endovascular treatment with selective catheterization and coil embolization was successfully performed. The ankle joint achieved bone union without delay, and the pseudoaneurysm did not recur at the 18-month follow-up.Conclusion:This is the first report describing a pseudoaneurysm of the peroneal artery after ankle arthrodesis. Successful outcomes can be achieved by endovascular treatment.

Pseudoaneurysm of the anterior tibial artery following arthrodesis on a background of ankle joint tuberculosis

“…Pseudoaneurysms are a rare complication following foot or ankle surgery with only four previously reported cases, two following intramedullary nailing for tibial fractures 1,2 and two following ankle arthrodesis. 3,4 Variation in arterial anatomy around the ankle is not uncommon, with changes in the course of the anterior tibial and peroneal arteries reported in 5% of cadavers. 5 Appreciation of this anatomical variability is important when performing orthopaedic surgery and evaluating postoperative complications.…”