Publication: Pseudoaneurysm as an unusual complication in bone lengthening
Authors
Martínez Ros, Javier ; Molina González, José ; Salcedo Cánovas, César ; Abellán Rivero, Dolores ; Hernández Torres, Alicia ; Taboada Martín, Rubén ; Fernández Pascual, Clemente ; Carrillo García, María ; Martínez Ros, Miguel ; Puertas García-Sandoval, José Pablo
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Publisher
Elsevier
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Description
© The Author 2024
This document is the published version of a published work that appeared in final form in JPRAS Open .
This document is made available under the CC-BY-SA 4.0 license http://creativecommons.org/licenses/by-sa/4.0
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To access the final edited and published work see: https://doi.org/10.1016/j.jpra.2024.05.009
Abstract
Abstract
One of the risks of distraction osteogenesis-based techniques is the development of vascular complications, such as pseudoaneurysms associated with the osteotomies performed or the fixation elements of the external fixator used in the procedure.
Pseudoaneurysm are formed when the tunica adventitia of the artery is injured, resulting in a gradual and persistent blood extravasation into the surrounding tissues that is encapsulated and connected to the arterial lumen.
This report describes a rare case of a late-presentation pseudoaneurysm in the anterior tibial artery resulting from a tibial lengthening procedure aimed at addressing a leg length discrepancy in a 57-year-old female with severe peripheral neuropathy resulting from long-standing poorly controlled diabetes mellitus. We describe the diagnostic process, the treatment options and confirm how the shape of the bony callus can be a reliable indicator of this pathology, as has already been described in the literature.
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