Posterior Tibial Artery Pseudoaneurysm Following Thrombectomy in a Patient with Traumatic Tibiofibular Fracture.

Abstract

The frequency of vascular injury resulting from extremity trauma varies depending on an individual’s social or natural environment [1-4]. Traffic accidents appear to be a major threat to public safety in South Korea, where war-related or gunshot injuries are rare. Here, we present a trauma case of combined vascular and orthopedic injuries. A 77-year-old woman was brought to our emergency room as a pedestrian, who had been trapped under the wheel of a limousine. The crushed bones were exposed in both ankles, and the left leg had simultaneous fractures of the distal tibia and midshaft fibula (Fig. 1). There was no arterial pulse at the level of the ankle wound. Initial computed tomography (CT) angiography revealed an occluded anterior tibial artery (ATA) and diminished flow from the tibioperoneal trunk (TPT) (Fig. 2). Given its ease and combined degloving injury, we decided to repair the posterior tibial artery (PTA) first without exploring the ATA, which might have required a vein Im ge of Vacular Srgery Posterior Tibial Artery Pseudoaneurysm Following Thrombectomy in a Patient with Traumatic Tibiofibular Fracture